| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
121,404 |
106,557 |
$4.25M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13,173 |
13,004 |
$828K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14,628 |
14,227 |
$775K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,239 |
8,090 |
$541K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
44,843 |
43,829 |
$400K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
24,538 |
24,062 |
$363K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,894 |
4,973 |
$351K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,064 |
2,028 |
$161K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,334 |
2,177 |
$136K |
| 99381 |
|
2,285 |
2,002 |
$120K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12,282 |
3,298 |
$75K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
709 |
626 |
$61K |
| 36415 |
Collection of venous blood by venipuncture |
11,263 |
9,221 |
$51K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,184 |
1,136 |
$44K |
| 99383 |
|
507 |
495 |
$37K |
| 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 |
5,915 |
2,071 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
983 |
942 |
$28K |
| 85018 |
|
12,431 |
12,134 |
$28K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,892 |
1,809 |
$26K |
| 90682 |
|
733 |
706 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,362 |
1,305 |
$19K |
| 99174 |
|
1,219 |
1,184 |
$18K |
| 90688 |
|
2,234 |
2,160 |
$15K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
315 |
293 |
$15K |
| 81025 |
|
2,107 |
2,006 |
$14K |
| 92551 |
|
974 |
936 |
$10K |
| 87807 |
|
807 |
781 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,769 |
1,477 |
$8K |
| 99382 |
|
101 |
101 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
107 |
97 |
$6K |
| 99177 |
|
1,905 |
1,841 |
$5K |
| 81003 |
|
4,200 |
3,983 |
$5K |
| 90670 |
|
10,156 |
9,978 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
38 |
35 |
$3K |
| 90677 |
|
936 |
928 |
$2K |
| 90656 |
|
1,172 |
1,149 |
$2K |
| 90723 |
|
8,524 |
8,366 |
$2K |
| 90633 |
|
6,988 |
6,884 |
$2K |
| 90715 |
|
1,301 |
1,261 |
$1K |
| 90473 |
|
3,115 |
3,050 |
$1K |
| 90686 |
|
9,406 |
9,258 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
85 |
79 |
$1K |
| 90651 |
|
2,310 |
2,255 |
$941.96 |
| 90681 |
|
4,585 |
4,495 |
$889.71 |
| 99384 |
|
12 |
12 |
$860.42 |
| 92250 |
|
21 |
20 |
$833.17 |
| 92228 |
|
86 |
73 |
$652.70 |
| 90647 |
|
4,865 |
4,767 |
$617.34 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
611 |
167 |
$593.73 |
| 90687 |
|
864 |
846 |
$539.96 |
| 90673 |
|
16 |
16 |
$474.24 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
101 |
31 |
$446.43 |
| 90696 |
|
964 |
950 |
$427.23 |
| 90710 |
|
1,828 |
1,797 |
$331.28 |
| 99000 |
|
1,577 |
1,458 |
$277.59 |
| 90756 |
|
12 |
12 |
$268.56 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
64 |
31 |
$257.74 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
8,586 |
8,222 |
$244.08 |
| 90716 |
|
985 |
963 |
$241.34 |
| 90734 |
|
625 |
613 |
$227.83 |
| 90658 |
|
421 |
414 |
$179.95 |
| 90707 |
|
439 |
434 |
$147.22 |
| 90698 |
|
531 |
526 |
$128.81 |
| 3074F |
|
8,708 |
8,094 |
$35.64 |
| 3078F |
|
5,891 |
5,439 |
$23.45 |
| 3079F |
|
5,660 |
5,291 |
$22.12 |
| 3077F |
|
1,987 |
1,833 |
$7.57 |
| 3075F |
|
1,641 |
1,546 |
$6.15 |
| 3080F |
|
1,083 |
1,024 |
$4.67 |
| 3044F |
|
455 |
417 |
$1.70 |
| 2028F |
|
563 |
511 |
$0.29 |
| 99406 |
|
127 |
63 |
$0.15 |
| 1160F |
|
142 |
117 |
$0.10 |
| 3072F |
|
13 |
13 |
$0.07 |
| 0502F |
|
27 |
25 |
$0.01 |
| 1170F |
|
18 |
15 |
$0.01 |
| T1015 |
Clinic visit/encounter, all-inclusive |
269 |
268 |
$0.00 |
| 90671 |
|
1,603 |
1,575 |
$0.00 |
| 90713 |
|
57 |
55 |
$0.00 |
| 1158F |
|
18 |
15 |
$0.00 |
| 90619 |
|
328 |
311 |
$0.00 |
| 90697 |
|
515 |
509 |
$0.00 |
| 3008F |
|
32 |
32 |
$0.00 |
| 90744 |
|
29 |
24 |
$0.00 |