| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,777 |
19,574 |
$1.79M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,945 |
4,605 |
$333K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,274 |
3,214 |
$251K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,765 |
1,628 |
$142K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
336 |
336 |
$62K |
| 99381 |
|
738 |
726 |
$57K |
| 90686 |
|
3,765 |
3,627 |
$48K |
| 90670 |
|
2,361 |
2,295 |
$41K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
2,431 |
1,987 |
$39K |
| 90671 |
|
271 |
258 |
$28K |
| 90698 |
|
1,642 |
1,605 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
293 |
293 |
$23K |
| 92552 |
|
845 |
834 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
209 |
199 |
$20K |
| 90677 |
|
192 |
172 |
$17K |
| 99215 |
Prolong outpt/office vis |
130 |
124 |
$16K |
| 99000 |
|
12,749 |
11,309 |
$15K |
| 59430 |
|
57 |
56 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
7,557 |
6,889 |
$12K |
| 90681 |
|
847 |
821 |
$12K |
| 90697 |
|
235 |
228 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,253 |
940 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,254 |
5,021 |
$9K |
| 90633 |
|
615 |
602 |
$8K |
| 94760 |
|
19,731 |
16,747 |
$8K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
334 |
269 |
$6K |
| 91320 |
|
51 |
50 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,960 |
2,848 |
$5K |
| 87428 |
|
160 |
155 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
153 |
151 |
$5K |
| 90744 |
|
401 |
389 |
$4K |
| 90656 |
|
181 |
181 |
$4K |
| 90461 |
|
1,516 |
1,465 |
$4K |
| 90715 |
|
109 |
106 |
$4K |
| 99173 |
|
1,340 |
1,325 |
$3K |
| 3008F |
|
988 |
908 |
$3K |
| 90480 |
|
187 |
184 |
$3K |
| 99188 |
|
125 |
121 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
156 |
155 |
$2K |
| 90707 |
|
102 |
101 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
237 |
234 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,795 |
1,503 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
96 |
94 |
$2K |
| 91318 |
|
63 |
63 |
$1K |
| 90716 |
|
53 |
53 |
$1K |
| 0001A |
|
31 |
30 |
$1K |
| 82947 |
|
469 |
418 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
21 |
21 |
$728.20 |
| 0124A |
|
14 |
14 |
$560.00 |
| 0002A |
|
13 |
13 |
$520.00 |
| 90672 |
|
13 |
13 |
$246.30 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
29 |
29 |
$203.91 |
| 90473 |
|
13 |
13 |
$90.00 |
| 86580 |
|
15 |
15 |
$85.62 |
| 88720 |
|
146 |
134 |
$71.46 |
| 36416 |
|
673 |
561 |
$47.93 |
| 85018 |
|
26 |
24 |
$37.06 |
| 81025 |
|
12 |
12 |
$0.00 |
| 96161 |
|
35 |
32 |
$0.00 |
| 76801 |
|
25 |
25 |
$0.00 |