| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,951 |
14,917 |
$143K |
| 90651 |
|
498 |
496 |
$74K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,666 |
4,434 |
$40K |
| 90688 |
|
482 |
481 |
$11K |
| 90756 |
|
359 |
359 |
$9K |
| 80061 |
Lipid panel |
730 |
698 |
$8K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
82 |
80 |
$7K |
| 90662 |
|
84 |
84 |
$6K |
| 80053 |
Comprehensive metabolic panel |
579 |
567 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
556 |
533 |
$5K |
| 96156 |
|
1,861 |
1,857 |
$4K |
| 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 |
635 |
584 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
233 |
226 |
$3K |
| 90686 |
|
404 |
402 |
$3K |
| 96151 |
|
240 |
236 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
403 |
393 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,617 |
1,580 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
485 |
484 |
$2K |
| 90658 |
|
78 |
78 |
$2K |
| 90750 |
|
31 |
31 |
$1K |
| 90674 |
|
194 |
193 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
360 |
360 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
183 |
182 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
75 |
74 |
$1K |
| 97803 |
|
1,004 |
1,000 |
$1K |
| 90715 |
|
47 |
47 |
$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 |
108 |
102 |
$980.82 |
| 92551 |
|
672 |
664 |
$602.49 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
193 |
191 |
$580.08 |
| 99201 |
|
26 |
26 |
$547.48 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
232 |
231 |
$509.58 |
| 99385 |
|
52 |
52 |
$456.40 |
| 90633 |
|
56 |
56 |
$428.62 |
| 82274 |
|
26 |
26 |
$371.54 |
| 85027 |
|
56 |
55 |
$319.76 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
538 |
538 |
$277.67 |
| 80076 |
|
41 |
40 |
$261.58 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
870 |
867 |
$258.64 |
| 99173 |
|
721 |
716 |
$153.53 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
252 |
252 |
$128.42 |
| 88141 |
|
13 |
13 |
$115.83 |
| 96150 |
|
14 |
14 |
$100.24 |
| 81025 |
|
118 |
113 |
$56.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
41 |
39 |
$51.31 |
| 90734 |
|
27 |
27 |
$40.46 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
258 |
256 |
$13.38 |
| 90620 |
|
14 |
14 |
$9.00 |
| 81002 |
|
56 |
53 |
$2.15 |
| 1003F |
|
494 |
492 |
$0.00 |
| 3078F |
|
2,792 |
2,432 |
$0.00 |
| 99442 |
|
128 |
128 |
$0.00 |
| 3725F |
|
527 |
482 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$0.00 |
| 0124A |
|
65 |
65 |
$0.00 |
| 91312 |
|
65 |
65 |
$0.00 |
| 91313 |
|
31 |
31 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$0.00 |
| 0054A |
|
19 |
19 |
$0.00 |
| 3075F |
|
625 |
577 |
$0.00 |
| 3074F |
|
2,696 |
2,356 |
$0.00 |
| 3351F |
|
475 |
441 |
$0.00 |
| 3008F |
|
435 |
435 |
$0.00 |
| 0134A |
|
47 |
47 |
$0.00 |
| 3079F |
|
608 |
564 |
$0.00 |
| 87428 |
|
91 |
89 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$0.00 |
| 91305 |
|
15 |
15 |
$0.00 |
| 99386 |
|
13 |
13 |
$0.00 |
| 99441 |
|
29 |
28 |
$0.00 |