| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
790,010 |
682,310 |
$33.09M |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
51,899 |
33,387 |
$6.40M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
121,130 |
110,670 |
$6.36M |
| 90791 |
Psychiatric diagnostic evaluation |
26,507 |
26,122 |
$4.19M |
| 59425 |
|
42,618 |
27,099 |
$3.78M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
127,196 |
118,255 |
$3.58M |
| 90832 |
Psychotherapy, 30 minutes with patient |
87,661 |
71,258 |
$3.55M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
35,002 |
34,259 |
$1.99M |
| 98940 |
|
82,079 |
55,952 |
$1.75M |
| G9012 |
Other specified case management service not elsewhere classified |
12,364 |
10,757 |
$1.65M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25,236 |
24,857 |
$1.61M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17,225 |
16,978 |
$1.34M |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
15,159 |
12,977 |
$1.04M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
19,236 |
18,561 |
$1.00M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
6,854 |
6,789 |
$876K |
| 92551 |
|
63,299 |
62,347 |
$867K |
| 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 |
14,007 |
13,904 |
$744K |
| 90686 |
|
47,194 |
46,730 |
$700K |
| 99205 |
Prolong outpt/office vis |
3,703 |
3,594 |
$606K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,556 |
6,470 |
$501K |
| 99215 |
Prolong outpt/office vis |
7,313 |
6,646 |
$468K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
4,008 |
3,926 |
$456K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
528 |
483 |
$390K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
8,002 |
2,615 |
$378K |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,166 |
3,623 |
$347K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,615 |
2,549 |
$283K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,994 |
2,757 |
$278K |
| 99173 |
|
62,758 |
61,843 |
$277K |
| 90670 |
|
19,516 |
19,398 |
$275K |
| 90715 |
|
9,155 |
8,914 |
$273K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
12,840 |
9,443 |
$269K |
| J3490 |
Unclassified drugs |
4,173 |
3,921 |
$254K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
5,115 |
5,077 |
$219K |
| 90648 |
|
17,539 |
16,851 |
$197K |
| 59430 |
|
2,198 |
2,028 |
$196K |
| 90651 |
|
10,965 |
10,820 |
$193K |
| 90633 |
|
15,270 |
14,877 |
$171K |
| 97802 |
|
5,713 |
5,616 |
$170K |
| 85018 |
|
98,760 |
96,814 |
$162K |
| 99381 |
|
2,572 |
2,525 |
$154K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
3,229 |
2,972 |
$145K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,114 |
3,095 |
$142K |
| 99385 |
|
1,146 |
1,138 |
$137K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
5,194 |
5,018 |
$124K |
| 97803 |
|
5,556 |
5,453 |
$124K |
| 90723 |
|
10,984 |
10,534 |
$123K |
| 99000 |
|
34,025 |
32,881 |
$121K |
| G9920 |
Screening performed and negative |
3,235 |
3,235 |
$115K |
| 90734 |
|
8,212 |
8,099 |
$106K |
| 11981 |
|
465 |
401 |
$106K |
| 90680 |
|
9,329 |
8,961 |
$105K |
| 99383 |
|
1,524 |
1,505 |
$102K |
| 90656 |
|
5,403 |
5,323 |
$94K |
| 99384 |
|
1,081 |
1,072 |
$86K |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
2,532 |
2,518 |
$82K |
| 90620 |
|
2,581 |
2,533 |
$80K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12,717 |
12,138 |
$71K |
| 83655 |
|
8,245 |
8,026 |
$70K |
| 90707 |
|
3,380 |
3,312 |
$68K |
| 99386 |
|
579 |
572 |
$68K |
| 90700 |
|
5,711 |
5,557 |
$64K |
| 99382 |
|
1,052 |
1,027 |
$59K |
| 90710 |
|
5,071 |
4,979 |
$57K |
| 90736 |
|
227 |
225 |
$56K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
3,230 |
2,971 |
$56K |
| 90716 |
|
3,536 |
3,444 |
$55K |
| 90837 |
Psychotherapy, 53 minutes with patient |
664 |
569 |
$51K |
| 90677 |
|
4,376 |
3,802 |
$48K |
| 93000 |
|
1,399 |
1,371 |
$47K |
| 11982 |
|
576 |
291 |
$47K |
| 81025 |
|
16,207 |
15,234 |
$47K |
| 99497 |
|
560 |
526 |
$46K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
583 |
580 |
$45K |
| 90696 |
|
3,635 |
3,567 |
$41K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,224 |
6,020 |
$41K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
716 |
712 |
$40K |
| 90698 |
|
3,232 |
3,198 |
$37K |
| 90662 |
|
621 |
614 |
$36K |
| V2020 |
Frames, purchases |
1,682 |
1,682 |
$35K |
| 90744 |
|
3,145 |
3,111 |
$35K |
| 90732 |
|
346 |
337 |
$30K |
| Q3014 |
Telehealth originating site facility fee |
1,049 |
983 |
$29K |
| 86580 |
|
8,388 |
8,174 |
$28K |
| 90647 |
|
2,287 |
2,252 |
$26K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
541 |
504 |
$26K |
| G9007 |
Coordinated care fee, scheduled team conference |
514 |
452 |
$26K |
| 97026 |
|
2,716 |
1,901 |
$25K |
| 97813 |
|
2,942 |
2,045 |
$25K |
| 69210 |
|
797 |
396 |
$24K |
| 92015 |
Determination of refractive state |
3,096 |
3,088 |
$24K |
| 58300 |
|
166 |
97 |
$23K |
| 90658 |
|
965 |
961 |
$19K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,317 |
969 |
$19K |
| 97814 |
|
2,911 |
2,025 |
$19K |
| 96127 |
|
3,052 |
1,646 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,365 |
2,320 |
$17K |
| 90713 |
|
1,445 |
1,409 |
$17K |
| 99401 |
|
985 |
965 |
$15K |
| 90681 |
|
1,077 |
1,070 |
$13K |
| 58301 |
|
362 |
180 |
$13K |
| 90688 |
|
1,468 |
1,436 |
$13K |
| 96156 |
|
1,291 |
1,268 |
$13K |
| 90746 |
|
147 |
143 |
$13K |
| 97810 |
|
1,001 |
722 |
$13K |
| 81003 |
|
5,216 |
4,188 |
$13K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,183 |
1,181 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,838 |
1,464 |
$13K |
| 99201 |
|
418 |
415 |
$12K |
| 81005 |
|
12,791 |
10,197 |
$11K |
| 90685 |
|
1,000 |
998 |
$11K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,054 |
1,912 |
$11K |
| H2000 |
Comprehensive multidisciplinary evaluation |
344 |
338 |
$10K |
| 97811 |
|
941 |
686 |
$10K |
| 11750 |
|
158 |
68 |
$9K |
| 81000 |
|
6,692 |
5,373 |
$9K |
| 87428 |
|
180 |
171 |
$9K |
| J0558 |
Injection, penicillin g benzathine and penicillin g procaine, 100,000 units |
464 |
352 |
$7K |
| 82962 |
|
3,233 |
3,085 |
$6K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,199 |
1,072 |
$6K |
| 17110 |
|
85 |
38 |
$6K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
774 |
746 |
$6K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
907 |
799 |
$6K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
848 |
803 |
$5K |
| 99188 |
|
226 |
226 |
$5K |
| 11721 |
|
233 |
114 |
$5K |
| 20550 |
|
93 |
42 |
$3K |
| 99406 |
|
263 |
258 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
63 |
63 |
$3K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
142 |
140 |
$3K |
| 96151 |
|
280 |
279 |
$3K |
| 90621 |
|
210 |
210 |
$2K |
| 90743 |
|
101 |
100 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,655 |
2,595 |
$2K |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
1,207 |
1,129 |
$2K |
| 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 |
5,953 |
4,663 |
$1K |
| T1015 |
Clinic visit/encounter, all-inclusive |
12 |
12 |
$1K |
| 90756 |
|
115 |
107 |
$1K |
| 58100 |
|
26 |
13 |
$991.90 |
| 92341 |
|
63 |
63 |
$991.62 |
| S9452 |
Nutrition classes, non-physician provider, per session |
114 |
114 |
$980.13 |
| 80305 |
|
80 |
69 |
$766.08 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
174 |
167 |
$751.61 |
| 99403 |
|
84 |
83 |
$732.47 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
912 |
867 |
$713.52 |
| 11730 |
|
28 |
13 |
$688.57 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
70 |
70 |
$568.95 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
15 |
14 |
$551.70 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
12 |
$459.29 |
| 86703 |
|
51 |
48 |
$389.50 |
| 0521 |
|
143 |
128 |
$383.74 |
| 90381 |
|
27 |
24 |
$303.75 |
| 96150 |
|
22 |
12 |
$291.50 |
| 96373 |
|
14 |
12 |
$278.32 |
| H1000 |
Prenatal care, at-risk assessment |
20 |
12 |
$273.84 |
| 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 |
663 |
593 |
$266.56 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
31 |
25 |
$238.42 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
31 |
24 |
$217.74 |
| 87420 |
|
67 |
67 |
$193.90 |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
14 |
14 |
$92.12 |
| 87400 |
|
13 |
13 |
$81.25 |
| 84443 |
Thyroid stimulating hormone (TSH) |
13 |
13 |
$59.88 |
| 2001F |
|
20,751 |
18,272 |
$32.93 |
| 82272 |
|
12 |
12 |
$30.72 |
| 80053 |
Comprehensive metabolic panel |
14 |
14 |
$26.85 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
393 |
297 |
$16.38 |
| 3078F |
|
30,819 |
27,958 |
$0.00 |
| 3077F |
|
7,956 |
7,429 |
$0.00 |
| 3050F |
|
6,944 |
5,899 |
$0.00 |
| 3046F |
|
146 |
122 |
$0.00 |
| 3051F |
|
42 |
37 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,798 |
1,588 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
63 |
62 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
225 |
205 |
$0.00 |
| 90461 |
|
113 |
113 |
$0.00 |
| 4004F |
|
177 |
147 |
$0.00 |
| 99177 |
|
27 |
26 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
224 |
222 |
$0.00 |
| D0191 |
|
58 |
58 |
$0.00 |
| 0502F |
|
70 |
60 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16 |
16 |
$0.00 |
| G0247 |
Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superficial to muscle and fascia) and at least the following if present: (1) local care of superficial wounds, (2) debridement of corns and calluses, and (3) trimming and debridement of nails |
14 |
14 |
$0.00 |
| 3075F |
|
8,762 |
8,426 |
$0.00 |
| 3048F |
|
21,779 |
18,751 |
$0.00 |
| 1036F |
|
127,690 |
109,966 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,077 |
1,816 |
$0.00 |
| 3074F |
|
38,307 |
34,787 |
$0.00 |
| 3049F |
|
14,122 |
12,191 |
$0.00 |
| 3079F |
|
22,291 |
21,035 |
$0.00 |
| 3008F |
|
107,203 |
91,097 |
$0.00 |
| 3044F |
|
889 |
804 |
$0.00 |
| 3080F |
|
1,880 |
1,793 |
$0.00 |
| 1111F |
|
5,289 |
4,639 |
$0.00 |
| 1034F |
|
1,044 |
914 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
28 |
27 |
$0.00 |
| 90474 |
|
63 |
61 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
114 |
114 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
28 |
27 |
$0.00 |
| 99607 |
|
132 |
84 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
15 |
15 |
$0.00 |
| 99606 |
|
81 |
81 |
$0.00 |
| 99402 |
|
13 |
13 |
$0.00 |