| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,239 |
4,799 |
$211K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,014 |
4,804 |
$180K |
| 90832 |
Psychotherapy, 30 minutes with patient |
765 |
591 |
$23K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
1,758 |
1,425 |
$7K |
| 93000 |
|
475 |
381 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
65 |
56 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
56 |
41 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
276 |
241 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
93 |
69 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
128 |
110 |
$2K |
| 99490 |
Ccm add 20min |
103 |
89 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
25 |
18 |
$1K |
| 92552 |
|
129 |
119 |
$1K |
| 99173 |
|
249 |
223 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
157 |
139 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
57 |
53 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
86 |
58 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
60 |
38 |
$803.42 |
| 99442 |
|
76 |
69 |
$716.73 |
| 81003 |
|
419 |
356 |
$633.07 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
31 |
27 |
$567.99 |
| 3008F |
|
971 |
813 |
$490.00 |
| 94060 |
|
21 |
12 |
$423.76 |
| 94729 |
|
21 |
12 |
$405.06 |
| 92551 |
|
57 |
51 |
$388.01 |
| 94727 |
|
21 |
12 |
$322.72 |
| 99457 |
|
29 |
28 |
$304.40 |
| 96160 |
|
17 |
15 |
$297.02 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
98 |
95 |
$287.10 |
| 36415 |
Collection of venous blood by venipuncture |
111 |
95 |
$268.61 |
| 99215 |
Prolong outpt/office vis |
21 |
13 |
$196.46 |
| 94010 |
|
15 |
12 |
$196.22 |
| 1125F |
|
638 |
500 |
$170.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
66 |
55 |
$131.25 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
19 |
17 |
$100.29 |
| 81025 |
|
16 |
15 |
$88.27 |
| 96127 |
|
14 |
14 |
$61.74 |
| 36416 |
|
12 |
12 |
$30.15 |
| 3079F |
|
26 |
26 |
$20.00 |
| 3074F |
|
33 |
30 |
$10.00 |
| 3078F |
|
41 |
38 |
$10.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
19 |
17 |
$8.02 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
24 |
13 |
$0.00 |