| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,803 |
9,063 |
$470K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,851 |
4,325 |
$265K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,849 |
1,389 |
$103K |
| 90837 |
Psychotherapy, 53 minutes with patient |
833 |
644 |
$61K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
914 |
831 |
$29K |
| G9012 |
Other specified case management service not elsewhere classified |
114 |
104 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
330 |
302 |
$20K |
| 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 |
1,211 |
954 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
175 |
159 |
$11K |
| 92587 |
|
930 |
850 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
165 |
147 |
$9K |
| 3074F |
|
1,441 |
1,164 |
$9K |
| 3078F |
|
1,318 |
1,101 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
919 |
834 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
673 |
606 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
429 |
362 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,366 |
1,267 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,650 |
1,501 |
$5K |
| 3079F |
|
752 |
652 |
$5K |
| 99000 |
|
4,185 |
3,829 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
3,661 |
3,234 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
50 |
49 |
$3K |
| 80305 |
|
262 |
136 |
$3K |
| 90686 |
|
309 |
278 |
$2K |
| 92551 |
|
314 |
278 |
$2K |
| 99174 |
|
722 |
656 |
$2K |
| 99177 |
|
731 |
647 |
$2K |
| 3075F |
|
296 |
261 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
137 |
118 |
$2K |
| 90756 |
|
137 |
131 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
28 |
$1K |
| 87430 |
|
120 |
104 |
$1K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
160 |
77 |
$1K |
| 87428 |
|
41 |
33 |
$1K |
| 3077F |
|
200 |
174 |
$920.00 |
| 87807 |
|
129 |
111 |
$907.29 |
| 90791 |
Psychiatric diagnostic evaluation |
16 |
12 |
$895.28 |
| 90832 |
Psychotherapy, 30 minutes with patient |
30 |
26 |
$886.46 |
| 90658 |
|
85 |
84 |
$837.34 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
325 |
298 |
$831.10 |
| 99441 |
|
62 |
52 |
$750.26 |
| 99383 |
|
19 |
15 |
$745.86 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
24 |
18 |
$656.71 |
| 90734 |
|
27 |
26 |
$364.18 |
| 99442 |
|
15 |
12 |
$341.17 |
| G0008 |
Administration of influenza virus vaccine |
149 |
143 |
$324.56 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
14 |
12 |
$324.00 |
| 90656 |
|
26 |
25 |
$249.90 |
| 99072 |
|
912 |
833 |
$205.70 |
| 81002 |
|
52 |
50 |
$82.49 |
| 36416 |
|
939 |
825 |
$51.10 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
29 |
28 |
$25.70 |
| 99173 |
|
13 |
12 |
$22.08 |
| 86403 |
|
14 |
14 |
$18.87 |
| Q2036 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) |
14 |
13 |
$0.00 |