| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
100,882 |
91,309 |
$3.03M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
45,829 |
41,013 |
$1.91M |
| G9149 |
National committee for quality assurance - level 2 medical home |
7,902 |
7,823 |
$1.54M |
| H0043 |
Supported housing, per diem |
13,252 |
5,178 |
$1.46M |
| 90832 |
Psychotherapy, 30 minutes with patient |
20,753 |
14,987 |
$783K |
| T1015 |
Clinic visit/encounter, all-inclusive |
2,284 |
1,842 |
$352K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,752 |
6,687 |
$248K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,979 |
11,102 |
$237K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,895 |
5,823 |
$224K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,389 |
5,342 |
$209K |
| G9150 |
National committee for quality assurance - level 3 medical home |
1,578 |
1,572 |
$199K |
| 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 |
10,477 |
9,298 |
$195K |
| H2023 |
Supported employment, per 15 minutes |
2,969 |
1,273 |
$179K |
| G9006 |
Coordinated care fee, home monitoring |
950 |
157 |
$157K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,041 |
3,870 |
$144K |
| 90686 |
|
16,982 |
16,712 |
$137K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
3,556 |
3,151 |
$132K |
| 99443 |
|
2,806 |
2,399 |
$116K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,471 |
1,454 |
$107K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
36,107 |
35,525 |
$100K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,058 |
1,050 |
$94K |
| 99442 |
|
3,164 |
2,968 |
$81K |
| 0002A |
|
1,856 |
1,846 |
$71K |
| 0001A |
|
1,725 |
1,722 |
$63K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
523 |
499 |
$46K |
| 99441 |
|
3,328 |
3,089 |
$41K |
| 0012A |
|
1,013 |
1,009 |
$37K |
| 92551 |
|
12,125 |
11,991 |
$30K |
| 0011A |
|
1,083 |
1,070 |
$29K |
| 99215 |
Prolong outpt/office vis |
459 |
392 |
$26K |
| 90756 |
|
1,353 |
1,284 |
$25K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,945 |
2,849 |
$24K |
| 90677 |
|
185 |
182 |
$24K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
2,389 |
1,331 |
$23K |
| 99173 |
|
13,547 |
13,431 |
$23K |
| 90834 |
Psychotherapy, 45 minutes with patient |
357 |
326 |
$20K |
| 90715 |
|
1,113 |
1,091 |
$20K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
263 |
249 |
$20K |
| 0064A |
|
466 |
463 |
$18K |
| 0072A |
|
447 |
447 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,892 |
1,650 |
$17K |
| 0031A |
|
515 |
513 |
$17K |
| 0071A |
|
405 |
400 |
$16K |
| 97803 |
|
672 |
586 |
$15K |
| 81025 |
|
2,328 |
2,254 |
$14K |
| 0054A |
|
346 |
341 |
$13K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
509 |
386 |
$13K |
| 90791 |
Psychiatric diagnostic evaluation |
149 |
137 |
$12K |
| 99401 |
|
661 |
642 |
$12K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
370 |
246 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,292 |
725 |
$11K |
| 90670 |
|
3,030 |
2,997 |
$11K |
| 90480 |
|
306 |
306 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
194 |
189 |
$11K |
| 0004A |
|
273 |
271 |
$11K |
| G9148 |
National committee for quality assurance - level 1 medical home |
41 |
41 |
$10K |
| 90651 |
|
2,273 |
2,250 |
$9K |
| 0124A |
|
247 |
243 |
$9K |
| 83655 |
|
714 |
699 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
596 |
589 |
$8K |
| 90656 |
|
873 |
869 |
$7K |
| 0052A |
|
153 |
153 |
$6K |
| 90734 |
|
1,293 |
1,280 |
$5K |
| 90632 |
|
87 |
86 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12,533 |
12,356 |
$5K |
| 90633 |
|
1,221 |
1,199 |
$5K |
| 59430 |
|
27 |
26 |
$5K |
| 90688 |
|
1,057 |
1,054 |
$4K |
| 36416 |
|
3,681 |
3,552 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,584 |
1,555 |
$4K |
| 90698 |
|
1,096 |
1,082 |
$4K |
| 91320 |
|
32 |
32 |
$4K |
| 0134A |
|
106 |
104 |
$4K |
| 85018 |
|
2,856 |
2,813 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
90 |
87 |
$3K |
| 91322 |
|
21 |
21 |
$3K |
| 97802 |
|
111 |
111 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
186 |
96 |
$3K |
| 90685 |
|
604 |
600 |
$3K |
| 86580 |
|
512 |
478 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
26 |
26 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
31 |
31 |
$2K |
| 81002 |
|
844 |
815 |
$2K |
| 90648 |
|
547 |
542 |
$2K |
| 92250 |
|
55 |
45 |
$2K |
| 92015 |
Determination of refractive state |
221 |
219 |
$2K |
| 0051A |
|
43 |
43 |
$2K |
| 90744 |
|
436 |
431 |
$2K |
| 90680 |
|
406 |
403 |
$2K |
| 99385 |
|
12 |
12 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
402 |
394 |
$1K |
| 0003A |
|
26 |
26 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$939.68 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
14 |
12 |
$913.74 |
| H2025 |
Ongoing support to maintain employment, per 15 minutes |
28 |
12 |
$864.00 |
| 90710 |
|
177 |
176 |
$840.65 |
| 90696 |
|
164 |
163 |
$818.33 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
17 |
15 |
$612.18 |
| 90681 |
|
175 |
172 |
$574.26 |
| 90619 |
|
28 |
26 |
$565.44 |
| 0034A |
|
14 |
14 |
$544.34 |
| 0082A |
|
13 |
13 |
$520.00 |
| 0073A |
|
13 |
13 |
$520.00 |
| 90716 |
|
102 |
102 |
$402.59 |
| 0013A |
|
12 |
12 |
$394.78 |
| 90707 |
|
76 |
76 |
$313.16 |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
14 |
13 |
$299.88 |
| 90700 |
|
55 |
55 |
$259.08 |
| 90785 |
|
14 |
13 |
$122.40 |
| 90723 |
|
43 |
42 |
$110.54 |
| 90713 |
|
12 |
12 |
$76.78 |
| 90672 |
|
13 |
13 |
$48.70 |
| 99177 |
|
12 |
12 |
$35.76 |
| 90474 |
|
455 |
450 |
$28.48 |
| 0501F |
|
1,474 |
1,150 |
$25.00 |
| 91307 |
|
158 |
157 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
426 |
329 |
$0.00 |
| 88142 |
|
159 |
158 |
$0.00 |
| 96150 |
|
47 |
43 |
$0.00 |
| 0500F |
|
15 |
14 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
18 |
15 |
$0.00 |
| 90732 |
|
18 |
15 |
$0.00 |
| 0502F |
|
1,326 |
1,008 |
$0.00 |
| 80305 |
|
310 |
221 |
$0.00 |
| 91300 |
|
14 |
13 |
$0.00 |
| 90473 |
|
12 |
12 |
$0.00 |