| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
153,384 |
130,310 |
$5.22M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
84,540 |
71,574 |
$3.74M |
| 90837 |
Psychotherapy, 53 minutes with patient |
5,329 |
3,554 |
$396K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
6,646 |
5,473 |
$356K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,100 |
4,759 |
$312K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,448 |
4,187 |
$291K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16,225 |
11,885 |
$239K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
10,773 |
10,250 |
$168K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,339 |
2,841 |
$130K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,303 |
7,782 |
$108K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,568 |
1,456 |
$103K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,152 |
3,664 |
$103K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,292 |
1,237 |
$100K |
| 99441 |
|
2,866 |
2,601 |
$92K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,584 |
1,390 |
$89K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
983 |
887 |
$83K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,757 |
4,534 |
$82K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
7,359 |
6,415 |
$81K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
7,001 |
5,008 |
$77K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,227 |
2,147 |
$65K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
2,997 |
2,524 |
$47K |
| 99442 |
|
919 |
850 |
$44K |
| 90791 |
Psychiatric diagnostic evaluation |
479 |
422 |
$41K |
| 99307 |
|
1,297 |
958 |
$37K |
| H0038 |
Self-help/peer services, per 15 minutes |
3,280 |
1,694 |
$37K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,770 |
2,625 |
$35K |
| 90834 |
Psychotherapy, 45 minutes with patient |
605 |
470 |
$27K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
299 |
274 |
$25K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
273 |
259 |
$21K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,019 |
460 |
$15K |
| 90670 |
|
2,719 |
2,583 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
189 |
182 |
$14K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,955 |
1,704 |
$13K |
| 93000 |
|
998 |
855 |
$13K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
402 |
364 |
$13K |
| 90474 |
|
1,376 |
1,299 |
$12K |
| 90674 |
|
632 |
565 |
$12K |
| 81025 |
|
2,293 |
2,078 |
$11K |
| 99318 |
|
108 |
108 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
108 |
102 |
$9K |
| 99215 |
Prolong outpt/office vis |
113 |
108 |
$8K |
| 99381 |
|
152 |
142 |
$8K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
96 |
92 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
103 |
95 |
$7K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
276 |
117 |
$7K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
56 |
52 |
$6K |
| 90671 |
|
51 |
48 |
$5K |
| 90461 |
|
379 |
347 |
$5K |
| 99443 |
|
453 |
239 |
$5K |
| 90723 |
|
1,961 |
1,868 |
$5K |
| 87428 |
|
67 |
66 |
$4K |
| 90680 |
|
1,830 |
1,747 |
$4K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
2,096 |
1,760 |
$4K |
| 90686 |
|
528 |
501 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
105 |
101 |
$3K |
| 90633 |
|
2,045 |
1,968 |
$3K |
| 87807 |
|
203 |
189 |
$3K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
18 |
18 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
358 |
299 |
$2K |
| 99173 |
|
298 |
261 |
$2K |
| 90632 |
|
67 |
64 |
$2K |
| 90836 |
|
49 |
46 |
$2K |
| 81002 |
|
6,009 |
3,668 |
$2K |
| 0001A |
|
49 |
48 |
$2K |
| 96161 |
|
620 |
527 |
$2K |
| 59025 |
Fetal non-stress test |
81 |
45 |
$2K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
149 |
123 |
$2K |
| 90661 |
|
65 |
64 |
$2K |
| 99217 |
|
27 |
25 |
$2K |
| 99243 |
|
17 |
17 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
77 |
73 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,208 |
1,970 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
734 |
633 |
$1K |
| 90756 |
|
103 |
87 |
$1K |
| 99406 |
|
220 |
156 |
$1K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
68 |
48 |
$1K |
| 0002A |
|
35 |
33 |
$1K |
| 90647 |
|
1,974 |
1,876 |
$1K |
| 99219 |
|
41 |
27 |
$1K |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
203 |
164 |
$1K |
| 99220 |
|
12 |
12 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
137 |
134 |
$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 |
223 |
186 |
$1K |
| 72100 |
|
102 |
97 |
$887.03 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
86 |
69 |
$818.33 |
| 73562 |
|
112 |
89 |
$816.20 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
27 |
13 |
$742.08 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
30 |
29 |
$693.47 |
| 90715 |
|
141 |
138 |
$668.34 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
15 |
15 |
$655.93 |
| 0071A |
|
17 |
17 |
$650.00 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
14 |
14 |
$598.92 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
63 |
63 |
$585.53 |
| 81003 |
|
2,894 |
2,367 |
$571.13 |
| 90651 |
|
115 |
112 |
$562.86 |
| 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 |
43 |
32 |
$473.14 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
13 |
$466.04 |
| 74022 |
|
28 |
24 |
$377.12 |
| 72040 |
|
41 |
40 |
$358.60 |
| 90734 |
|
186 |
184 |
$301.80 |
| 93016 |
|
12 |
12 |
$295.56 |
| 90697 |
|
493 |
478 |
$283.91 |
| 73130 |
|
40 |
32 |
$267.22 |
| 73030 |
|
33 |
28 |
$247.52 |
| 93018 |
|
12 |
12 |
$239.04 |
| 73610 |
|
31 |
26 |
$215.42 |
| 73630 |
|
26 |
24 |
$193.14 |
| 82962 |
|
98 |
76 |
$185.47 |
| 81001 |
|
129 |
123 |
$185.26 |
| 99188 |
|
12 |
12 |
$176.25 |
| 90473 |
|
30 |
25 |
$152.22 |
| 72072 |
|
17 |
14 |
$122.57 |
| 90681 |
|
82 |
76 |
$111.92 |
| 73080 |
|
15 |
15 |
$111.47 |
| 74018 |
|
16 |
16 |
$109.61 |
| 96127 |
|
36 |
36 |
$107.87 |
| 90688 |
|
23 |
21 |
$98.46 |
| 98970 |
|
21 |
15 |
$37.00 |
| 3074F |
|
55,477 |
45,693 |
$0.10 |
| 3078F |
|
55,122 |
45,378 |
$0.10 |
| 3079F |
|
34,997 |
29,804 |
$0.00 |
| 3075F |
|
21,055 |
18,052 |
$0.00 |
| 1036F |
|
50,023 |
42,555 |
$0.00 |
| 3080F |
|
8,796 |
7,373 |
$0.00 |
| 1125F |
|
13,659 |
11,805 |
$0.00 |
| 3008F |
|
41,409 |
33,638 |
$0.00 |
| 1170F |
|
1,040 |
905 |
$0.00 |
| 1101F |
|
1,202 |
1,088 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
15 |
15 |
$0.00 |
| 99024 |
|
397 |
355 |
$0.00 |
| 3044F |
|
272 |
208 |
$0.00 |
| 1035F |
|
206 |
166 |
$0.00 |
| 90716 |
|
50 |
49 |
$0.00 |
| 90656 |
|
66 |
66 |
$0.00 |
| 90696 |
|
56 |
53 |
$0.00 |
| 1126F |
|
104 |
93 |
$0.00 |
| 3077F |
|
22,802 |
19,028 |
$0.00 |
| 3725F |
|
18,212 |
15,537 |
$0.00 |
| 1159F |
|
44,622 |
36,789 |
$0.00 |
| 1160F |
|
52,589 |
42,930 |
$0.00 |
| 1100F |
|
119 |
100 |
$0.00 |
| 1090F |
|
4,002 |
3,412 |
$0.00 |
| 3288F |
|
1,401 |
1,255 |
$0.00 |
| 90707 |
|
51 |
49 |
$0.00 |
| 90710 |
|
72 |
66 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |