| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38,072 |
34,113 |
$845K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,184 |
2,931 |
$113K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,564 |
1,073 |
$86K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,397 |
3,106 |
$76K |
| 90686 |
|
2,246 |
2,245 |
$43K |
| 99173 |
|
1,562 |
1,559 |
$40K |
| 99000 |
|
3,572 |
3,379 |
$26K |
| 85018 |
|
2,893 |
2,884 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
364 |
364 |
$12K |
| 99215 |
Prolong outpt/office vis |
175 |
155 |
$11K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
245 |
95 |
$11K |
| 81005 |
|
1,630 |
1,261 |
$10K |
| 99222 |
Initial hospital care, per day, moderate complexity |
91 |
84 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,080 |
1,030 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
112 |
104 |
$5K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
329 |
294 |
$4K |
| 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 |
286 |
267 |
$4K |
| 92551 |
|
1,475 |
1,472 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
123 |
122 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
121 |
120 |
$3K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
78 |
77 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$2K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
46 |
45 |
$624.75 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$405.38 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$374.74 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
50 |
46 |
$368.25 |
| 98940 |
|
34 |
28 |
$267.52 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
115 |
115 |
$257.03 |
| 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 |
286 |
285 |
$240.00 |
| 82962 |
|
32 |
28 |
$212.05 |
| 81003 |
|
141 |
111 |
$120.67 |
| 86580 |
|
12 |
12 |
$40.30 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
220 |
203 |
$0.00 |
| 90670 |
|
15 |
15 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 3078F |
|
60 |
56 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
228 |
212 |
$0.00 |
| 3074F |
|
141 |
134 |
$0.00 |
| 2001F |
|
401 |
358 |
$0.00 |
| 1111F |
|
256 |
230 |
$0.00 |
| 3008F |
|
400 |
357 |
$0.00 |
| 1036F |
|
264 |
238 |
$0.00 |
| 90688 |
|
17 |
17 |
$0.00 |
| 90647 |
|
13 |
13 |
$0.00 |
| 3079F |
|
13 |
13 |
$0.00 |