| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24,017 |
19,196 |
$1.40M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,328 |
15,663 |
$830K |
| T1015 |
Clinic visit/encounter, all-inclusive |
31,482 |
24,529 |
$308K |
| 59425 |
|
4,774 |
3,249 |
$185K |
| 59426 |
|
1,599 |
956 |
$69K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,839 |
3,035 |
$28K |
| 59430 |
|
183 |
145 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
281 |
244 |
$20K |
| 36415 |
Collection of venous blood by venipuncture |
6,831 |
5,340 |
$16K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
868 |
691 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
132 |
116 |
$10K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
657 |
497 |
$9K |
| 99307 |
|
747 |
604 |
$9K |
| 90686 |
|
749 |
566 |
$6K |
| 99460 |
|
81 |
75 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
115 |
99 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
505 |
405 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
64 |
55 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
241 |
166 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
337 |
160 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
133 |
122 |
$3K |
| 90677 |
|
13 |
12 |
$2K |
| 96127 |
|
431 |
334 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
15 |
$1K |
| 90474 |
|
85 |
63 |
$937.99 |
| 81003 |
|
927 |
688 |
$788.65 |
| 0002A |
|
18 |
13 |
$644.93 |
| 87428 |
|
20 |
16 |
$611.25 |
| 99441 |
|
115 |
71 |
$459.78 |
| 0134A |
|
16 |
13 |
$266.44 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
12 |
$210.61 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
251 |
177 |
$208.81 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
53 |
41 |
$174.02 |
| 36416 |
|
171 |
137 |
$155.97 |
| 99442 |
|
24 |
14 |
$134.82 |
| 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 |
115 |
85 |
$96.29 |
| 1160F |
|
30,295 |
23,072 |
$94.21 |
| 81025 |
|
23 |
13 |
$70.39 |
| 1159F |
|
26,729 |
20,294 |
$2.93 |
| 1036F |
|
20,682 |
15,905 |
$0.00 |
| 3008F |
|
29,247 |
22,524 |
$0.00 |
| 3079F |
|
5,043 |
3,964 |
$0.00 |
| 1034F |
|
1,146 |
933 |
$0.00 |
| 3074F |
|
24,123 |
18,726 |
$0.00 |
| 1126F |
|
307 |
280 |
$0.00 |
| 3075F |
|
459 |
387 |
$0.00 |
| 90656 |
|
67 |
63 |
$0.00 |
| 1125F |
|
238 |
200 |
$0.00 |
| 1035F |
|
108 |
91 |
$0.00 |
| 3080F |
|
131 |
100 |
$0.00 |
| 90723 |
|
126 |
94 |
$0.00 |
| 90680 |
|
87 |
64 |
$0.00 |
| 90688 |
|
52 |
51 |
$0.00 |
| 1220F |
|
35 |
31 |
$0.00 |
| 90647 |
|
23 |
12 |
$0.00 |
| 3725F |
|
5,236 |
4,172 |
$0.00 |
| 3078F |
|
19,725 |
15,354 |
$0.00 |
| 3077F |
|
374 |
310 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
42 |
41 |
$0.00 |
| 91300 |
|
40 |
30 |
$0.00 |
| 90670 |
|
148 |
119 |
$0.00 |