| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,797 |
9,154 |
$281K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,865 |
2,812 |
$115K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,059 |
1,316 |
$54K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
449 |
388 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
482 |
372 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
436 |
341 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
487 |
306 |
$21K |
| H1000 |
Prenatal care, at-risk assessment |
312 |
275 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,260 |
2,003 |
$13K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
587 |
238 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
825 |
581 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
631 |
573 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
218 |
202 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,380 |
1,114 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
285 |
254 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
52 |
49 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
59 |
51 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
123 |
37 |
$2K |
| 99441 |
|
112 |
95 |
$2K |
| 90686 |
|
1,168 |
1,024 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
47 |
46 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
12 |
$1K |
| 99384 |
|
14 |
14 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
609 |
546 |
$976.11 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
135 |
101 |
$802.48 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
13 |
$769.13 |
| 98940 |
|
91 |
39 |
$724.40 |
| 90677 |
|
16 |
14 |
$597.46 |
| 86703 |
|
302 |
115 |
$462.48 |
| 90834 |
Psychotherapy, 45 minutes with patient |
21 |
13 |
$447.73 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
85 |
77 |
$399.66 |
| 99188 |
|
58 |
53 |
$378.60 |
| 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 |
101 |
90 |
$367.47 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
24 |
24 |
$343.09 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
104 |
80 |
$268.80 |
| 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 |
994 |
700 |
$225.63 |
| 81025 |
|
105 |
72 |
$194.98 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
35 |
32 |
$176.58 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,151 |
759 |
$175.78 |
| 90674 |
|
35 |
33 |
$120.19 |
| 81002 |
|
110 |
104 |
$112.96 |
| 90651 |
|
191 |
155 |
$95.88 |
| 83026 |
|
65 |
62 |
$88.27 |
| 85018 |
|
94 |
87 |
$87.04 |
| 1159F |
|
10,343 |
7,674 |
$86.55 |
| 90474 |
|
76 |
26 |
$80.00 |
| 90734 |
|
143 |
115 |
$20.00 |
| 3044F |
|
1,390 |
1,124 |
$20.00 |
| 90656 |
|
84 |
82 |
$20.00 |
| 3008F |
|
21,415 |
15,187 |
$12.62 |
| 96127 |
|
285 |
249 |
$2.28 |
| 3351F |
|
4,401 |
2,705 |
$0.09 |
| 3078F |
|
11,302 |
8,282 |
$0.01 |
| 1160F |
|
10,679 |
7,827 |
$0.01 |
| 3074F |
|
13,279 |
9,904 |
$0.01 |
| 2000F |
|
12,220 |
9,363 |
$0.01 |
| 2001F |
|
15,170 |
11,789 |
$0.01 |
| 1000F |
|
16,250 |
11,940 |
$0.01 |
| 4000F |
|
461 |
386 |
$0.01 |
| 3077F |
|
399 |
313 |
$0.00 |
| 99173 |
|
1,695 |
1,218 |
$0.00 |
| 4035F |
|
1,267 |
898 |
$0.00 |
| 90681 |
|
74 |
25 |
$0.00 |
| 1033F |
|
214 |
207 |
$0.00 |
| 90670 |
|
173 |
103 |
$0.00 |
| 3210F |
|
84 |
73 |
$0.00 |
| 3015F |
|
196 |
95 |
$0.00 |
| 1158F |
|
262 |
107 |
$0.00 |
| 90461 |
|
283 |
177 |
$0.00 |
| 4004F |
|
581 |
277 |
$0.00 |
| 3725F |
|
92 |
66 |
$0.00 |
| 90633 |
|
56 |
53 |
$0.00 |
| 4158F |
|
80 |
76 |
$0.00 |
| 0502F |
|
65 |
57 |
$0.00 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
87 |
67 |
$0.00 |
| 90715 |
|
31 |
31 |
$0.00 |
| 1039F |
|
70 |
41 |
$0.00 |
| 3050F |
|
23 |
21 |
$0.00 |
| 2028F |
|
17 |
13 |
$0.00 |
| 4040F |
|
97 |
32 |
$0.00 |
| 1126F |
|
5,645 |
4,488 |
$0.00 |
| 3075F |
|
1,572 |
1,213 |
$0.00 |
| 92551 |
|
1,617 |
1,167 |
$0.00 |
| 1125F |
|
1,336 |
869 |
$0.00 |
| 1220F |
|
6,352 |
4,749 |
$0.00 |
| 1036F |
|
5,710 |
3,813 |
$0.00 |
| 1034F |
|
1,326 |
817 |
$0.00 |
| 1030F |
|
1,555 |
1,133 |
$0.00 |
| 3079F |
|
4,061 |
2,884 |
$0.00 |
| 3352F |
|
521 |
470 |
$0.00 |
| 1170F |
|
196 |
49 |
$0.00 |
| 4037F |
|
598 |
489 |
$0.00 |
| 3049F |
|
34 |
33 |
$0.00 |
| 1101F |
|
744 |
300 |
$0.00 |
| 90620 |
|
51 |
46 |
$0.00 |
| 4010F |
|
168 |
100 |
$0.00 |
| 90723 |
|
117 |
56 |
$0.00 |
| 90647 |
|
110 |
56 |
$0.00 |
| 1022F |
|
190 |
82 |
$0.00 |
| 3080F |
|
62 |
45 |
$0.00 |
| 3353F |
|
137 |
121 |
$0.00 |
| 3354F |
|
21 |
13 |
$0.00 |
| 3048F |
|
36 |
29 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
87 |
67 |
$0.00 |
| 90688 |
|
21 |
21 |
$0.00 |
| 1157F |
|
226 |
49 |
$0.00 |
| 3014F |
|
29 |
28 |
$0.00 |
| 3017F |
|
50 |
45 |
$0.00 |
| 0513F |
|
12 |
12 |
$0.00 |