| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,606 |
10,433 |
$1.01M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,412 |
1,198 |
$83K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
758 |
630 |
$56K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
422 |
400 |
$47K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
142 |
141 |
$17K |
| 99441 |
|
617 |
512 |
$15K |
| 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 |
2,859 |
2,206 |
$11K |
| 99442 |
|
236 |
206 |
$10K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
703 |
579 |
$9K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
19 |
19 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,182 |
2,135 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
17 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
585 |
551 |
$1K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
105 |
93 |
$699.54 |
| 1036F |
|
5,744 |
4,595 |
$1.10 |
| 90633 |
|
16 |
12 |
$0.02 |
| 1159F |
|
5,877 |
4,731 |
$0.00 |
| 1160F |
|
4,135 |
3,276 |
$0.00 |
| 90649 |
|
100 |
95 |
$0.00 |
| 96160 |
|
131 |
125 |
$0.00 |
| 99173 |
|
759 |
717 |
$0.00 |
| 1158F |
|
486 |
419 |
$0.00 |
| 3078F |
|
455 |
406 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
115 |
65 |
$0.00 |
| 90715 |
|
40 |
36 |
$0.00 |
| 81025 |
|
104 |
93 |
$0.00 |
| 3077F |
|
31 |
26 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
228 |
213 |
$0.00 |
| 90734 |
|
39 |
37 |
$0.00 |
| 83655 |
|
27 |
25 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
13 |
13 |
$0.00 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
18 |
18 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
12 |
12 |
$0.00 |
| 90658 |
|
17 |
17 |
$0.00 |
| 1111F |
|
612 |
533 |
$0.00 |
| 87430 |
|
170 |
161 |
$0.00 |
| 0011A |
|
15 |
15 |
$0.00 |
| 92551 |
|
759 |
720 |
$0.00 |
| 3008F |
|
2,725 |
2,263 |
$0.00 |
| 1126F |
|
2,874 |
2,369 |
$0.00 |
| 1125F |
|
3,880 |
3,267 |
$0.00 |
| 1101F |
|
491 |
419 |
$0.00 |
| 1170F |
|
1,019 |
850 |
$0.00 |
| 3074F |
|
481 |
433 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
708 |
663 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
41 |
37 |
$0.00 |
| 81000 |
|
53 |
52 |
$0.00 |
| 3079F |
|
92 |
81 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
260 |
243 |
$0.00 |
| 85018 |
|
72 |
63 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
271 |
249 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
16 |
16 |
$0.00 |
| 90656 |
|
19 |
17 |
$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 |
16 |
12 |
$0.00 |
| 1000F |
|
13 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
18 |
18 |
$0.00 |
| 91301 |
|
17 |
16 |
$0.00 |