| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
76,968 |
67,690 |
$2.59M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,170 |
22,954 |
$1.22M |
| 90837 |
Psychotherapy, 53 minutes with patient |
9,981 |
6,885 |
$673K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,231 |
6,065 |
$459K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,949 |
5,697 |
$379K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15,882 |
15,260 |
$234K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12,110 |
10,472 |
$188K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
9,437 |
8,746 |
$120K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,529 |
1,478 |
$113K |
| 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 |
11,241 |
4,061 |
$84K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,974 |
1,844 |
$83K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,609 |
5,212 |
$73K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,158 |
1,115 |
$72K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,432 |
4,148 |
$70K |
| 87428 |
|
2,087 |
1,945 |
$51K |
| 90791 |
Psychiatric diagnostic evaluation |
583 |
489 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,657 |
1,517 |
$39K |
| 87807 |
|
3,050 |
2,874 |
$35K |
| 90832 |
Psychotherapy, 30 minutes with patient |
853 |
550 |
$31K |
| 92551 |
|
2,676 |
2,585 |
$30K |
| 80305 |
|
2,448 |
2,291 |
$22K |
| 90834 |
Psychotherapy, 45 minutes with patient |
354 |
299 |
$17K |
| 90688 |
|
2,932 |
2,802 |
$15K |
| 96127 |
|
4,921 |
4,215 |
$14K |
| 90670 |
|
4,882 |
4,715 |
$14K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
650 |
591 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
715 |
635 |
$12K |
| 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 |
902 |
885 |
$11K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
283 |
258 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
157 |
147 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
82 |
77 |
$8K |
| 90473 |
|
491 |
474 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
78 |
75 |
$6K |
| 99381 |
|
99 |
87 |
$6K |
| 99173 |
|
1,346 |
1,302 |
$6K |
| 0011A |
|
182 |
164 |
$5K |
| 99354 |
|
140 |
90 |
$5K |
| 0012A |
|
133 |
132 |
$5K |
| 90723 |
|
3,366 |
3,254 |
$4K |
| 96160 |
|
2,203 |
1,339 |
$4K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
814 |
759 |
$3K |
| 99215 |
Prolong outpt/office vis |
31 |
27 |
$2K |
| 99177 |
|
669 |
650 |
$2K |
| 90681 |
|
807 |
779 |
$2K |
| 90647 |
|
2,994 |
2,892 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
931 |
863 |
$2K |
| 90633 |
|
1,997 |
1,927 |
$2K |
| 90474 |
|
176 |
168 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
158 |
128 |
$1K |
| 90687 |
|
910 |
893 |
$1K |
| 94760 |
|
1,150 |
1,001 |
$1K |
| 90651 |
|
91 |
83 |
$915.68 |
| 90677 |
|
345 |
343 |
$856.10 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
236 |
216 |
$808.70 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
307 |
283 |
$711.33 |
| 81002 |
|
562 |
527 |
$577.98 |
| 96161 |
|
379 |
358 |
$534.04 |
| J2010 |
Injection, lincomycin hcl, up to 300 mg |
136 |
133 |
$468.28 |
| 81025 |
|
81 |
63 |
$451.50 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$444.21 |
| 90734 |
|
146 |
132 |
$157.51 |
| 90700 |
|
28 |
27 |
$117.35 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
14 |
14 |
$111.62 |
| 88720 |
|
13 |
13 |
$59.20 |
| 90696 |
|
65 |
64 |
$36.80 |
| 90710 |
|
83 |
79 |
$36.80 |
| 3078F |
|
36 |
29 |
$0.02 |
| 1220F |
|
412 |
385 |
$0.00 |
| 90716 |
|
30 |
30 |
$0.00 |
| 1036F |
|
159 |
150 |
$0.00 |
| 3353F |
|
210 |
194 |
$0.00 |
| 1034F |
|
131 |
111 |
$0.00 |
| 3354F |
|
81 |
74 |
$0.00 |
| 3352F |
|
45 |
43 |
$0.00 |
| 4000F |
|
120 |
103 |
$0.00 |
| 4037F |
|
48 |
44 |
$0.00 |
| 3074F |
|
18 |
14 |
$0.00 |
| 90715 |
|
64 |
56 |
$0.00 |
| 90707 |
|
30 |
30 |
$0.00 |