| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,660 |
20,838 |
$4.07M |
| T1015 |
Clinic visit/encounter, all-inclusive |
11,117 |
8,419 |
$1.17M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,185 |
5,019 |
$899K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,909 |
1,893 |
$353K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,865 |
1,846 |
$339K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,727 |
1,717 |
$323K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,163 |
1,142 |
$205K |
| 90832 |
Psychotherapy, 30 minutes with patient |
728 |
598 |
$138K |
| 87428 |
|
640 |
627 |
$40K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,206 |
1,159 |
$29K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
672 |
653 |
$26K |
| 99384 |
|
114 |
112 |
$19K |
| 90834 |
Psychotherapy, 45 minutes with patient |
75 |
62 |
$12K |
| 80305 |
|
1,274 |
1,114 |
$11K |
| 90791 |
Psychiatric diagnostic evaluation |
73 |
68 |
$11K |
| G9153 |
Mapcp demonstration - physician incentive pool |
276 |
269 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,215 |
1,238 |
$8K |
| 90651 |
|
267 |
261 |
$7K |
| 92587 |
|
4,522 |
4,471 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
58 |
58 |
$6K |
| 96161 |
|
905 |
873 |
$5K |
| 99177 |
|
4,344 |
4,298 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,160 |
1,125 |
$4K |
| 96160 |
|
679 |
666 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,904 |
2,853 |
$4K |
| 90686 |
|
1,408 |
1,376 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
21 |
19 |
$3K |
| 90670 |
|
222 |
219 |
$3K |
| 0011A |
|
78 |
76 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
955 |
942 |
$2K |
| 0012A |
|
61 |
58 |
$2K |
| 99383 |
|
12 |
12 |
$2K |
| 97802 |
|
263 |
256 |
$2K |
| 99199 |
Unlisted special service, procedure or report |
469 |
448 |
$1K |
| 0071A |
|
28 |
28 |
$1K |
| 96127 |
|
849 |
844 |
$848.58 |
| 0072A |
|
16 |
16 |
$640.00 |
| 90682 |
|
13 |
13 |
$543.48 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
859 |
850 |
$528.69 |
| 90480 |
|
14 |
14 |
$260.00 |
| 90734 |
|
121 |
121 |
$126.21 |
| 90685 |
|
19 |
19 |
$119.10 |
| 87400 |
|
17 |
17 |
$66.12 |
| 85018 |
|
122 |
121 |
$51.85 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
22 |
21 |
$51.31 |
| 90633 |
|
100 |
100 |
$32.24 |
| 96152 |
|
13 |
13 |
$29.24 |
| 90647 |
|
138 |
137 |
$27.56 |
| 92551 |
|
19 |
19 |
$16.32 |
| 90688 |
|
17 |
17 |
$15.39 |
| 94664 |
|
15 |
15 |
$11.11 |
| 81003 |
|
14 |
14 |
$3.88 |
| 94760 |
|
61 |
54 |
$3.39 |
| 90677 |
|
124 |
123 |
$0.01 |
| 99173 |
|
40 |
40 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
48 |
46 |
$0.00 |
| 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 |
13 |
12 |
$0.00 |
| 3008F |
|
111 |
102 |
$0.00 |
| 99000 |
|
22 |
21 |
$0.00 |
| 90656 |
|
66 |
66 |
$0.00 |
| 90723 |
|
148 |
147 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
17 |
14 |
$0.00 |