| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
91,665 |
87,037 |
$3.23M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
58,617 |
56,005 |
$2.88M |
| T1015 |
Clinic visit/encounter, all-inclusive |
10,981 |
8,574 |
$1.53M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
10,687 |
10,637 |
$636K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,392 |
9,197 |
$534K |
| 90837 |
Psychotherapy, 53 minutes with patient |
10,069 |
7,747 |
$488K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,535 |
8,468 |
$450K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,960 |
4,917 |
$266K |
| 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 |
16,956 |
14,617 |
$230K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,930 |
2,795 |
$204K |
| 90834 |
Psychotherapy, 45 minutes with patient |
5,737 |
4,625 |
$202K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,259 |
3,141 |
$190K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
4,033 |
2,491 |
$182K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,474 |
1,446 |
$121K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,848 |
1,817 |
$104K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,323 |
2,781 |
$95K |
| 99381 |
|
1,825 |
1,605 |
$89K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,137 |
8,967 |
$84K |
| 90686 |
|
7,521 |
7,400 |
$75K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,048 |
3,807 |
$69K |
| 96127 |
|
30,843 |
24,229 |
$67K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,260 |
3,109 |
$64K |
| 90674 |
|
2,937 |
2,901 |
$63K |
| 90670 |
|
7,080 |
7,006 |
$62K |
| 92551 |
|
14,626 |
14,455 |
$60K |
| 87428 |
|
1,544 |
1,516 |
$60K |
| 83037 |
|
7,936 |
7,705 |
$49K |
| 99205 |
Prolong outpt/office vis |
309 |
306 |
$49K |
| 90688 |
|
5,909 |
5,867 |
$48K |
| 92015 |
Determination of refractive state |
5,363 |
5,082 |
$48K |
| 99442 |
|
1,203 |
1,145 |
$42K |
| 90791 |
Psychiatric diagnostic evaluation |
853 |
842 |
$42K |
| H2015 |
Comprehensive community support services, per 15 minutes |
1,824 |
1,397 |
$41K |
| 90680 |
|
4,781 |
4,720 |
$41K |
| 90633 |
|
4,706 |
4,661 |
$41K |
| 90715 |
|
2,232 |
2,198 |
$36K |
| 81003 |
|
23,425 |
17,785 |
$35K |
| 99215 |
Prolong outpt/office vis |
316 |
316 |
$34K |
| 99383 |
|
431 |
426 |
$33K |
| 96153 |
|
1,032 |
299 |
$29K |
| 90651 |
|
3,474 |
3,442 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,913 |
1,880 |
$27K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
275 |
273 |
$25K |
| 99173 |
|
15,710 |
15,531 |
$25K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
581 |
564 |
$24K |
| 81025 |
|
3,518 |
3,409 |
$24K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,800 |
1,747 |
$19K |
| 99443 |
|
366 |
355 |
$19K |
| 90750 |
|
226 |
215 |
$18K |
| 0012A |
|
458 |
457 |
$18K |
| 99384 |
|
229 |
227 |
$18K |
| 90648 |
|
2,721 |
2,704 |
$17K |
| 90697 |
|
1,520 |
1,475 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,178 |
1,156 |
$16K |
| 0011A |
|
419 |
418 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
179 |
177 |
$13K |
| 95251 |
|
838 |
816 |
$13K |
| 59426 |
|
17 |
16 |
$13K |
| 96165 |
|
535 |
181 |
$11K |
| 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 |
694 |
473 |
$11K |
| 97802 |
|
471 |
467 |
$11K |
| 99441 |
|
571 |
540 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,390 |
2,277 |
$11K |
| 0071A |
|
257 |
251 |
$10K |
| 96112 |
|
177 |
176 |
$10K |
| 90677 |
|
1,083 |
1,069 |
$10K |
| 90710 |
|
870 |
864 |
$10K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
646 |
570 |
$9K |
| 90619 |
|
872 |
865 |
$9K |
| 0072A |
|
217 |
216 |
$9K |
| 90734 |
|
1,337 |
1,325 |
$9K |
| 90698 |
|
1,161 |
1,155 |
$9K |
| 90716 |
|
854 |
849 |
$8K |
| 90696 |
|
704 |
700 |
$7K |
| 0064A |
|
183 |
178 |
$7K |
| 90723 |
|
1,041 |
1,036 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
838 |
777 |
$7K |
| 90656 |
|
578 |
577 |
$6K |
| 59025 |
Fetal non-stress test |
144 |
100 |
$6K |
| 91320 |
|
67 |
66 |
$6K |
| 90707 |
|
547 |
544 |
$6K |
| 96164 |
|
532 |
181 |
$6K |
| 96160 |
|
3,880 |
3,680 |
$6K |
| 0001A |
|
129 |
129 |
$5K |
| 11056 |
|
297 |
290 |
$5K |
| 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 |
179 |
175 |
$4K |
| 0002A |
|
100 |
100 |
$4K |
| 87210 |
|
684 |
647 |
$4K |
| 0031A |
|
98 |
97 |
$3K |
| 90685 |
|
433 |
432 |
$3K |
| 99382 |
|
41 |
40 |
$3K |
| 90700 |
|
348 |
345 |
$3K |
| 11721 |
|
584 |
565 |
$3K |
| 90678 |
|
13 |
12 |
$3K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
42 |
42 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
53 |
49 |
$3K |
| 59430 |
|
13 |
12 |
$3K |
| 90480 |
|
87 |
84 |
$2K |
| 99385 |
|
25 |
25 |
$2K |
| 83986 |
|
705 |
667 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
356 |
300 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
389 |
342 |
$2K |
| 92310 |
|
49 |
39 |
$2K |
| 90620 |
|
297 |
295 |
$2K |
| 90756 |
|
73 |
69 |
$2K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
25 |
12 |
$2K |
| 76857 |
|
68 |
65 |
$2K |
| 92341 |
|
87 |
81 |
$2K |
| 96161 |
|
1,225 |
1,074 |
$2K |
| H0034 |
Medication training and support, per 15 minutes |
109 |
104 |
$2K |
| H0001 |
Alcohol and/or drug assessment |
12 |
12 |
$1K |
| 92083 |
|
44 |
40 |
$1K |
| 92250 |
|
66 |
63 |
$1K |
| 92133 |
|
93 |
92 |
$1K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
438 |
431 |
$1K |
| 0052A |
|
27 |
27 |
$1K |
| 0051A |
|
28 |
27 |
$1K |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
296 |
274 |
$1K |
| 90744 |
|
153 |
147 |
$943.40 |
| 99201 |
|
40 |
39 |
$774.38 |
| 97803 |
|
28 |
26 |
$774.13 |
| 90672 |
|
96 |
96 |
$756.53 |
| 0054A |
|
16 |
16 |
$640.00 |
| 0134A |
|
15 |
15 |
$600.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
12 |
$543.40 |
| 0124A |
|
12 |
12 |
$440.00 |
| T1002 |
Rn services, up to 15 minutes |
415 |
381 |
$410.14 |
| 86580 |
|
82 |
77 |
$331.24 |
| 90658 |
|
111 |
111 |
$298.76 |
| 90621 |
|
28 |
28 |
$269.67 |
| S9482 |
Family stabilization services, per 15 minutes |
345 |
264 |
$251.14 |
| V2020 |
Frames, purchases |
25 |
25 |
$200.00 |
| 90702 |
|
12 |
12 |
$188.72 |
| 29540 |
|
12 |
12 |
$166.66 |
| 90713 |
|
12 |
12 |
$160.00 |
| 82962 |
|
39 |
36 |
$116.38 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$110.00 |
| 96381 |
|
12 |
12 |
$104.27 |
| 99606 |
|
19 |
12 |
$100.00 |
| 90682 |
|
110 |
109 |
$57.83 |
| 99605 |
|
12 |
12 |
$40.00 |
| T1017 |
Targeted case management, each 15 minutes |
137 |
111 |
$34.92 |
| 92228 |
|
35 |
34 |
$32.27 |
| 90380 |
|
12 |
12 |
$30.31 |
| 1160F |
|
71,338 |
65,626 |
$20.00 |
| 3725F |
|
27,971 |
26,653 |
$14.15 |
| 3077F |
|
1,710 |
1,613 |
$14.14 |
| 1126F |
|
7,654 |
7,183 |
$0.00 |
| 3074F |
|
54,933 |
51,057 |
$0.00 |
| 1034F |
|
2,526 |
2,383 |
$0.00 |
| 1036F |
|
50,409 |
45,676 |
$0.00 |
| 3080F |
|
189 |
182 |
$0.00 |
| 3008F |
|
76,497 |
70,591 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
1,148 |
1,126 |
$0.00 |
| 3075F |
|
3,241 |
3,143 |
$0.00 |
| 3079F |
|
8,952 |
8,573 |
$0.00 |
| 0500F |
|
616 |
606 |
$0.00 |
| 1125F |
|
2,439 |
2,333 |
$0.00 |
| V5008 |
Hearing screening |
15 |
15 |
$0.00 |
| 1035F |
|
812 |
765 |
$0.00 |
| S9436 |
Childbirth preparation/lamaze classes, non-physician provider, per session |
13 |
13 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
13 |
12 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
120 |
118 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
180 |
167 |
$0.00 |
| 99607 |
|
46 |
42 |
$0.00 |
| 2023F |
|
188 |
188 |
$0.00 |
| 99000 |
|
159 |
152 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
161 |
161 |
$0.00 |
| 0503F |
|
63 |
56 |
$0.00 |
| 90732 |
|
13 |
13 |
$0.00 |
| 91307 |
|
54 |
53 |
$0.00 |
| D1330 |
|
16 |
16 |
$0.00 |
| 3078F |
|
52,045 |
48,498 |
$0.00 |
| 1159F |
|
62,099 |
57,322 |
$0.00 |
| 86328 |
|
2,419 |
2,382 |
$0.00 |
| 0502F |
|
16,479 |
12,341 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
2,475 |
2,333 |
$0.00 |
| 90662 |
|
645 |
628 |
$0.00 |
| 2028F |
|
719 |
698 |
$0.00 |
| 2022F |
|
450 |
432 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
1,020 |
946 |
$0.00 |
| 3288F |
|
16 |
16 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
205 |
187 |
$0.00 |
| 5010F |
|
737 |
717 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
211 |
197 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
53 |
53 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
44 |
41 |
$0.00 |
| 2025F |
|
13 |
13 |
$0.00 |
| 92134 |
|
15 |
12 |
$0.00 |