| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,554 |
24,038 |
$673K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,376 |
20,400 |
$482K |
| 90832 |
Psychotherapy, 30 minutes with patient |
10,608 |
9,717 |
$475K |
| 90791 |
Psychiatric diagnostic evaluation |
4,992 |
4,916 |
$464K |
| G9012 |
Other specified case management service not elsewhere classified |
2,162 |
2,011 |
$116K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,237 |
1,235 |
$104K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,599 |
4,587 |
$94K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,281 |
1,281 |
$90K |
| V2020 |
Frames, purchases |
4,767 |
4,711 |
$89K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
720 |
718 |
$81K |
| 92015 |
Determination of refractive state |
6,812 |
6,806 |
$79K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,771 |
3,701 |
$66K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
596 |
596 |
$64K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
912 |
911 |
$59K |
| 92551 |
|
2,577 |
2,561 |
$53K |
| 98940 |
|
1,961 |
1,268 |
$46K |
| 90651 |
|
765 |
764 |
$30K |
| 99215 |
Prolong outpt/office vis |
476 |
448 |
$30K |
| 90834 |
Psychotherapy, 45 minutes with patient |
516 |
487 |
$29K |
| 92341 |
|
1,079 |
1,077 |
$27K |
| 90670 |
|
1,279 |
1,279 |
$23K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
386 |
385 |
$20K |
| 92250 |
|
714 |
712 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,667 |
1,644 |
$17K |
| 90647 |
|
929 |
928 |
$16K |
| 99173 |
|
2,298 |
2,296 |
$14K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
615 |
614 |
$12K |
| 90715 |
|
456 |
456 |
$12K |
| 99385 |
|
108 |
108 |
$11K |
| 90723 |
|
658 |
657 |
$11K |
| 90633 |
|
612 |
611 |
$11K |
| 90680 |
|
592 |
592 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,637 |
1,601 |
$9K |
| 92133 |
|
262 |
262 |
$8K |
| 90700 |
|
424 |
424 |
$8K |
| 86703 |
|
550 |
549 |
$7K |
| 90734 |
|
357 |
357 |
$7K |
| D1206 |
Topical application of fluoride varnish |
242 |
242 |
$6K |
| 90716 |
|
288 |
287 |
$6K |
| 85018 |
|
2,263 |
2,248 |
$6K |
| 90688 |
|
300 |
300 |
$5K |
| 90707 |
|
242 |
242 |
$5K |
| 90686 |
|
282 |
281 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
158 |
158 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
114 |
113 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
417 |
410 |
$4K |
| 90710 |
|
229 |
229 |
$4K |
| 90696 |
|
225 |
225 |
$4K |
| 99381 |
|
45 |
44 |
$4K |
| 11721 |
|
85 |
85 |
$4K |
| 90713 |
|
163 |
163 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
108 |
108 |
$2K |
| 81025 |
|
563 |
557 |
$2K |
| 90620 |
|
82 |
82 |
$2K |
| 99460 |
|
25 |
24 |
$2K |
| 90746 |
|
26 |
26 |
$2K |
| 81003 |
|
620 |
602 |
$2K |
| 99386 |
|
28 |
28 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
199 |
198 |
$1K |
| 99383 |
|
13 |
13 |
$1K |
| 86580 |
|
192 |
190 |
$1K |
| 93000 |
|
236 |
235 |
$1K |
| 11730 |
|
26 |
17 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
226 |
221 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
871 |
721 |
$1K |
| 99462 |
|
23 |
18 |
$948.52 |
| 82962 |
|
298 |
277 |
$748.33 |
| 90685 |
|
52 |
52 |
$715.98 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
123 |
121 |
$657.31 |
| 92083 |
|
27 |
27 |
$559.82 |
| 92134 |
|
14 |
14 |
$495.60 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
43 |
42 |
$371.25 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
42 |
42 |
$281.11 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
14 |
14 |
$140.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
14 |
14 |
$72.84 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
13 |
12 |
$33.44 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
19 |
18 |
$19.14 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
25 |
25 |
$15.15 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$0.00 |
| 90656 |
|
22 |
22 |
$0.00 |