| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
131,149 |
113,090 |
$11.90M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
56,710 |
47,334 |
$3.59M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,605 |
7,621 |
$852K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,406 |
6,092 |
$724K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,119 |
4,772 |
$568K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,196 |
4,730 |
$565K |
| 87428 |
|
9,995 |
9,518 |
$423K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,221 |
3,048 |
$368K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29,164 |
27,070 |
$271K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12,680 |
11,880 |
$229K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,039 |
2,883 |
$56K |
| 90832 |
Psychotherapy, 30 minutes with patient |
605 |
433 |
$53K |
| 99173 |
|
14,191 |
13,424 |
$52K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
593 |
514 |
$42K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
661 |
230 |
$27K |
| 99429 |
|
1,912 |
1,470 |
$27K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,224 |
480 |
$27K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,372 |
1,959 |
$19K |
| 92551 |
|
8,898 |
8,376 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
581 |
575 |
$15K |
| 99381 |
|
163 |
132 |
$15K |
| 97161 |
|
146 |
128 |
$12K |
| D0999 |
Unspecified diagnostic procedure, by report |
102 |
94 |
$12K |
| 90834 |
Psychotherapy, 45 minutes with patient |
98 |
73 |
$9K |
| 11721 |
|
616 |
593 |
$7K |
| 90686 |
|
8,196 |
7,410 |
$6K |
| 99188 |
|
1,807 |
1,671 |
$6K |
| 90474 |
|
506 |
455 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
10,347 |
9,679 |
$4K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
29 |
27 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
44 |
36 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
43 |
41 |
$3K |
| 96127 |
|
853 |
734 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,914 |
3,138 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
41,566 |
34,818 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
26 |
26 |
$1K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
29 |
25 |
$1K |
| D1110 |
Prophylaxis - adult |
28 |
28 |
$956.06 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,478 |
2,903 |
$806.64 |
| 0011A |
|
51 |
29 |
$740.00 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
13 |
12 |
$719.62 |
| 90715 |
|
167 |
147 |
$683.03 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$682.90 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$546.32 |
| 0012A |
|
13 |
13 |
$520.00 |
| 11720 |
|
143 |
140 |
$509.22 |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
190 |
69 |
$459.00 |
| 87070 |
|
30 |
28 |
$341.10 |
| D1206 |
Topical application of fluoride varnish |
44 |
44 |
$334.21 |
| 36416 |
|
12,839 |
11,340 |
$206.80 |
| 90620 |
|
106 |
70 |
$201.30 |
| 81025 |
|
1,905 |
1,680 |
$188.14 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
14 |
12 |
$187.00 |
| 90734 |
|
686 |
651 |
$122.18 |
| 90656 |
|
490 |
475 |
$89.40 |
| 81002 |
|
19 |
16 |
$60.99 |
| 85018 |
|
3,316 |
3,080 |
$60.91 |
| 86580 |
|
12 |
12 |
$56.91 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
100 |
67 |
$48.85 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
219 |
137 |
$34.82 |
| 90688 |
|
172 |
168 |
$19.91 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
16 |
12 |
$4.60 |
| 3078F |
|
880 |
795 |
$0.07 |
| 3074F |
|
1,057 |
948 |
$0.01 |
| 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 |
19,859 |
17,578 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
7,620 |
6,884 |
$0.00 |
| 3008F |
|
10,151 |
8,883 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
1,051 |
873 |
$0.00 |
| 90723 |
|
1,258 |
1,148 |
$0.00 |
| 90647 |
|
666 |
602 |
$0.00 |
| 3079F |
|
323 |
274 |
$0.00 |
| 2001F |
|
299 |
279 |
$0.00 |
| 90651 |
|
620 |
584 |
$0.00 |
| 90716 |
|
56 |
52 |
$0.00 |
| 90677 |
|
526 |
458 |
$0.00 |
| 82962 |
|
478 |
444 |
$0.00 |
| 87807 |
|
230 |
222 |
$0.00 |
| 90680 |
|
14 |
14 |
$0.00 |
| 82044 |
|
30 |
27 |
$0.00 |
| 3075F |
|
104 |
90 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
136 |
121 |
$0.00 |
| 1126F |
|
47 |
41 |
$0.00 |
| 1036F |
|
219 |
201 |
$0.00 |
| 91301 |
|
25 |
13 |
$0.00 |
| 96161 |
|
15 |
14 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
17 |
15 |
$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 |
13,447 |
12,754 |
$0.00 |
| 99177 |
|
1,328 |
1,295 |
$0.00 |
| 81003 |
|
1,666 |
1,486 |
$0.00 |
| 90670 |
|
2,866 |
2,666 |
$0.00 |
| 3725F |
|
2,966 |
2,573 |
$0.00 |
| 96160 |
|
3,635 |
3,006 |
$0.00 |
| 83655 |
|
192 |
182 |
$0.00 |
| 90648 |
|
991 |
910 |
$0.00 |
| 90633 |
|
646 |
618 |
$0.00 |
| 2028F |
|
173 |
157 |
$0.00 |
| 90681 |
|
536 |
474 |
$0.00 |
| 80061 |
Lipid panel |
1,376 |
1,247 |
$0.00 |
| 1160F |
|
309 |
267 |
$0.00 |
| 90662 |
|
364 |
287 |
$0.00 |
| 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 |
24 |
24 |
$0.00 |
| 1090F |
|
202 |
186 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| G0127 |
Trimming of dystrophic nails, any number |
148 |
136 |
$0.00 |
| 1159F |
|
43 |
43 |
$0.00 |
| 90685 |
|
76 |
56 |
$0.00 |
| 3288F |
|
27 |
25 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |