| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,282 |
20,891 |
$3.30M |
| D0999 |
Unspecified diagnostic procedure, by report |
9,776 |
8,820 |
$1.68M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,993 |
7,194 |
$917K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,190 |
2,774 |
$523K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,023 |
2,006 |
$333K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,389 |
1,382 |
$230K |
| 99442 |
|
1,446 |
1,347 |
$230K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,525 |
1,461 |
$229K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,178 |
1,169 |
$193K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,393 |
947 |
$172K |
| 99441 |
|
984 |
935 |
$165K |
| 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 |
6,982 |
5,133 |
$106K |
| Q3014 |
Telehealth originating site facility fee |
4,869 |
3,434 |
$101K |
| 98968 |
|
475 |
429 |
$81K |
| 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 |
1,761 |
1,450 |
$73K |
| 90791 |
Psychiatric diagnostic evaluation |
473 |
451 |
$71K |
| 98967 |
|
406 |
381 |
$64K |
| 99443 |
|
370 |
348 |
$61K |
| 90832 |
Psychotherapy, 30 minutes with patient |
922 |
762 |
$60K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,921 |
1,339 |
$57K |
| 0012A |
|
324 |
323 |
$52K |
| 90834 |
Psychotherapy, 45 minutes with patient |
349 |
283 |
$44K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
313 |
307 |
$41K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
210 |
210 |
$36K |
| 0011A |
|
251 |
249 |
$32K |
| 97802 |
|
198 |
198 |
$31K |
| 0064A |
|
246 |
245 |
$26K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
120 |
120 |
$21K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
143 |
86 |
$19K |
| 0072A |
|
109 |
109 |
$19K |
| 0071A |
|
107 |
107 |
$17K |
| 0134A |
|
204 |
202 |
$12K |
| 0003A |
|
67 |
67 |
$8K |
| 0124A |
|
109 |
106 |
$7K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
56 |
51 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
41 |
40 |
$5K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
45 |
38 |
$5K |
| 98960 |
|
26 |
26 |
$4K |
| 99215 |
Prolong outpt/office vis |
34 |
31 |
$3K |
| 0001A |
|
25 |
25 |
$3K |
| 98966 |
|
15 |
15 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
15 |
$2K |
| 0111A |
|
14 |
14 |
$2K |
| 99000 |
|
7,874 |
7,510 |
$2K |
| 99460 |
|
12 |
12 |
$2K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
20 |
13 |
$2K |
| H0049 |
Alcohol and/or drug screening |
1,291 |
959 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,995 |
2,947 |
$792.00 |
| 80305 |
|
6,422 |
5,358 |
$725.02 |
| 36415 |
Collection of venous blood by venipuncture |
5,795 |
5,538 |
$655.03 |
| 90715 |
|
599 |
596 |
$432.74 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,239 |
2,180 |
$301.31 |
| 91322 |
|
20 |
18 |
$201.78 |
| 90480 |
|
33 |
32 |
$201.78 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,454 |
4,417 |
$197.94 |
| 90670 |
|
817 |
804 |
$191.21 |
| 90648 |
|
615 |
611 |
$177.14 |
| 90651 |
|
116 |
116 |
$173.84 |
| 99188 |
|
598 |
592 |
$145.55 |
| 90686 |
|
2,148 |
2,130 |
$143.28 |
| 86803 |
|
273 |
259 |
$124.77 |
| 90461 |
|
2,587 |
2,563 |
$62.40 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
332 |
324 |
$50.86 |
| G0008 |
Administration of influenza virus vaccine |
245 |
223 |
$49.94 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
168 |
161 |
$37.26 |
| 81025 |
|
435 |
422 |
$33.51 |
| 81003 |
|
766 |
730 |
$31.85 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
94 |
93 |
$25.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
267 |
261 |
$23.00 |
| 81005 |
|
171 |
119 |
$15.06 |
| 85018 |
|
801 |
796 |
$9.78 |
| 82948 |
|
13 |
13 |
$6.75 |
| 90662 |
|
48 |
41 |
$4.24 |
| 90688 |
|
109 |
108 |
$2.16 |
| 3044F |
|
82 |
82 |
$0.02 |
| 90633 |
|
690 |
683 |
$0.00 |
| 91312 |
|
67 |
67 |
$0.00 |
| 3046F |
|
12 |
12 |
$0.00 |
| 90734 |
|
149 |
149 |
$0.00 |
| 91313 |
|
201 |
201 |
$0.00 |
| 91300 |
|
354 |
177 |
$0.00 |
| 90649 |
|
151 |
151 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
27 |
27 |
$0.00 |
| 90710 |
|
45 |
39 |
$0.00 |
| 90707 |
|
27 |
27 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |
| 99173 |
|
12 |
12 |
$0.00 |
| 90672 |
|
40 |
40 |
$0.00 |
| 3045F |
|
15 |
15 |
$0.00 |
| 90655 |
|
100 |
100 |
$0.00 |
| D1110 |
Prophylaxis - adult |
15 |
15 |
$0.00 |
| 90700 |
|
28 |
28 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
15 |
14 |
$0.00 |
| 90473 |
|
31 |
31 |
$0.00 |
| 91311 |
|
20 |
17 |
$0.00 |
| 90716 |
|
73 |
73 |
$0.00 |
| 90698 |
|
66 |
66 |
$0.00 |
| 90744 |
|
14 |
14 |
$0.00 |
| 91301 |
|
701 |
603 |
$0.00 |
| 90680 |
|
485 |
480 |
$0.00 |
| 90723 |
|
640 |
634 |
$0.00 |
| 91307 |
|
539 |
258 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
179 |
179 |
$0.00 |
| 91306 |
|
334 |
180 |
$0.00 |
| 90696 |
|
56 |
52 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
12 |
$0.00 |
| 90697 |
|
14 |
14 |
$0.00 |
| 99406 |
|
14 |
12 |
$0.00 |
| 88720 |
|
13 |
12 |
$0.00 |