| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45,758 |
39,833 |
$9.51M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,942 |
14,605 |
$3.29M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,510 |
6,040 |
$1.55M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,695 |
1,681 |
$421K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,400 |
1,337 |
$352K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,134 |
1,076 |
$232K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
846 |
838 |
$208K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
921 |
873 |
$185K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,013 |
6,773 |
$176K |
| 99215 |
Prolong outpt/office vis |
254 |
225 |
$53K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
177 |
174 |
$44K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,545 |
1,358 |
$35K |
| 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 |
3,459 |
3,210 |
$27K |
| 99000 |
|
13,472 |
10,802 |
$20K |
| D0999 |
Unspecified diagnostic procedure, by report |
60 |
45 |
$18K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,393 |
3,287 |
$14K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
223 |
209 |
$10K |
| 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 |
521 |
422 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
1,254 |
1,154 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$4K |
| 90686 |
|
1,260 |
1,208 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,558 |
3,344 |
$2K |
| 81002 |
|
13,935 |
11,177 |
$2K |
| 59025 |
Fetal non-stress test |
93 |
69 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
42 |
13 |
$1K |
| 99460 |
|
14 |
13 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
15 |
14 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
924 |
878 |
$938.85 |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
12 |
$911.52 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
131 |
86 |
$865.27 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
182 |
164 |
$625.90 |
| 99173 |
|
77 |
77 |
$310.88 |
| G0008 |
Administration of influenza virus vaccine |
170 |
140 |
$215.47 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
196 |
179 |
$182.32 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,749 |
4,570 |
$37.44 |
| 90732 |
|
18 |
14 |
$34.20 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
797 |
766 |
$0.00 |
| 81025 |
|
2,729 |
2,604 |
$0.00 |
| 90473 |
|
131 |
128 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
10,692 |
10,215 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
43 |
38 |
$0.00 |
| 82947 |
|
160 |
147 |
$0.00 |
| 99188 |
|
168 |
167 |
$0.00 |
| 90715 |
|
83 |
67 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
14 |
14 |
$0.00 |
| 90662 |
|
12 |
12 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
59 |
56 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
28 |
27 |
$0.00 |
| 87807 |
|
952 |
906 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
177 |
175 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
87 |
83 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
296 |
260 |
$0.00 |
| 90656 |
|
87 |
86 |
$0.00 |
| 85018 |
|
80 |
79 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
12 |
12 |
$0.00 |
| 76801 |
|
24 |
24 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
33 |
29 |
$0.00 |
| 93000 |
|
58 |
53 |
$0.00 |
| 90474 |
|
14 |
14 |
$0.00 |