| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
18,548 |
18,541 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
108,914 |
102,406 |
$31K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
7,719 |
7,713 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,549 |
15,039 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,601 |
2,597 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,484 |
3,480 |
$2K |
| 90670 |
|
847 |
847 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
33,615 |
33,416 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,554 |
2,554 |
$2K |
| 92552 |
|
3,500 |
3,486 |
$2K |
| 90746 |
|
1,015 |
1,015 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,278 |
1,278 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19,835 |
18,596 |
$1K |
| 82948 |
|
21,196 |
20,283 |
$858.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,191 |
1,189 |
$721.14 |
| 90620 |
|
92 |
92 |
$467.00 |
| 90698 |
|
256 |
256 |
$349.08 |
| 80061 |
Lipid panel |
34,305 |
34,225 |
$337.00 |
| 90715 |
|
1,579 |
1,576 |
$335.00 |
| 93000 |
|
1,587 |
1,581 |
$312.51 |
| 85018 |
|
6,909 |
6,864 |
$287.04 |
| 84443 |
Thyroid stimulating hormone (TSH) |
18,245 |
18,186 |
$258.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
34,967 |
34,884 |
$258.00 |
| 90651 |
|
552 |
551 |
$242.00 |
| 80053 |
Comprehensive metabolic panel |
36,692 |
36,541 |
$242.00 |
| 90633 |
|
629 |
629 |
$170.73 |
| 90744 |
|
112 |
112 |
$146.40 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,069 |
6,025 |
$137.00 |
| 98960 |
|
149 |
142 |
$133.30 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
256 |
256 |
$114.40 |
| 99385 |
|
325 |
325 |
$112.96 |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
620 |
603 |
$75.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
5,015 |
4,927 |
$63.00 |
| 81001 |
|
9,946 |
9,874 |
$63.00 |
| 90707 |
|
43 |
43 |
$60.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
998 |
972 |
$60.00 |
| 86580 |
|
317 |
313 |
$53.28 |
| 97803 |
|
1,276 |
1,166 |
$51.96 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
619 |
600 |
$51.31 |
| 81003 |
|
5,292 |
5,277 |
$42.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
29,592 |
29,453 |
$42.00 |
| 86317 |
|
2,361 |
2,356 |
$42.00 |
| 86592 |
|
3,831 |
3,816 |
$42.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
4,988 |
4,905 |
$42.00 |
| 87340 |
|
1,832 |
1,826 |
$42.00 |
| 81002 |
|
3,885 |
2,865 |
$35.91 |
| 97802 |
|
902 |
901 |
$30.35 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
133 |
132 |
$27.68 |
| 1160F |
|
52,915 |
50,645 |
$24.00 |
| 83540 |
|
1,162 |
1,156 |
$21.00 |
| 86803 |
|
2,081 |
2,073 |
$21.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
6,353 |
6,339 |
$21.00 |
| 86704 |
|
1,293 |
1,288 |
$21.00 |
| 90681 |
|
29 |
29 |
$18.00 |
| 81025 |
|
949 |
928 |
$16.62 |
| 1159F |
|
107,698 |
98,740 |
$0.00 |
| 99173 |
|
6,749 |
6,734 |
$0.00 |
| 3078F |
|
15,858 |
15,420 |
$0.00 |
| 3077F |
|
5,200 |
5,016 |
$0.00 |
| 87338 |
|
1,164 |
1,146 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
3,709 |
3,706 |
$0.00 |
| 86480 |
|
3,286 |
3,271 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
120 |
118 |
$0.00 |
| 86708 |
|
1,026 |
1,025 |
$0.00 |
| 86765 |
|
21 |
20 |
$0.00 |
| 84439 |
|
1,350 |
1,344 |
$0.00 |
| 84550 |
|
1,634 |
1,633 |
$0.00 |
| 0124A |
|
318 |
318 |
$0.00 |
| 82274 |
|
3,178 |
3,166 |
$0.00 |
| 80076 |
|
1,588 |
1,583 |
$0.00 |
| 0002A |
|
141 |
141 |
$0.00 |
| 82610 |
|
13 |
13 |
$0.00 |
| 86003 |
|
27 |
27 |
$0.00 |
| 91312 |
|
353 |
353 |
$0.00 |
| 84481 |
|
241 |
239 |
$0.00 |
| 2022F |
|
134 |
120 |
$0.00 |
| 82652 |
|
306 |
306 |
$0.00 |
| 80074 |
|
184 |
184 |
$0.00 |
| 83655 |
|
278 |
278 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
598 |
581 |
$0.00 |
| 90671 |
|
143 |
142 |
$0.00 |
| 99401 |
|
302 |
193 |
$0.00 |
| 90734 |
|
71 |
71 |
$0.00 |
| 11721 |
|
36 |
36 |
$0.00 |
| 91300 |
|
344 |
320 |
$0.00 |
| 90662 |
|
324 |
324 |
$0.00 |
| 85610 |
|
159 |
157 |
$0.00 |
| 86705 |
|
171 |
171 |
$0.00 |
| 99397 |
|
27 |
27 |
$0.00 |
| A4550 |
Surgical trays |
25 |
24 |
$0.00 |
| 90461 |
|
90 |
90 |
$0.00 |
| 90685 |
|
29 |
29 |
$0.00 |
| 96158 |
|
13 |
12 |
$0.00 |
| 90700 |
|
26 |
26 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
24 |
24 |
$0.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
35 |
26 |
$0.00 |
| 82785 |
|
13 |
13 |
$0.00 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
28 |
28 |
$0.00 |
| 86735 |
|
20 |
19 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
16 |
$0.00 |
| 90736 |
|
12 |
12 |
$0.00 |
| 0071A |
|
56 |
56 |
$0.00 |
| 2024F |
|
13 |
13 |
$0.00 |
| 90656 |
|
2,563 |
2,562 |
$0.00 |
| 83550 |
|
1,159 |
1,153 |
$0.00 |
| 84153 |
|
603 |
601 |
$0.00 |
| 3079F |
|
8,719 |
8,543 |
$0.00 |
| 3075F |
|
4,827 |
4,783 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,460 |
1,595 |
$0.00 |
| 90688 |
|
13 |
13 |
$0.00 |
| 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 |
578 |
526 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,600 |
1,594 |
$0.00 |
| 0012A |
|
450 |
450 |
$0.00 |
| 86140 |
|
59 |
59 |
$0.00 |
| 92551 |
|
3,430 |
3,391 |
$0.00 |
| 3074F |
|
15,466 |
15,054 |
$0.00 |
| 90619 |
|
78 |
78 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
3,178 |
3,164 |
$0.00 |
| 82728 |
|
1,082 |
1,078 |
$0.00 |
| 82043 |
|
5,534 |
5,520 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
635 |
547 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,121 |
2,119 |
$0.00 |
| 90647 |
|
150 |
150 |
$0.00 |
| 0011A |
|
441 |
440 |
$0.00 |
| 88142 |
|
243 |
237 |
$0.00 |
| 96156 |
|
198 |
192 |
$0.00 |
| 3080F |
|
968 |
941 |
$0.00 |
| 90474 |
|
25 |
25 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
88 |
88 |
$0.00 |
| 94760 |
|
12 |
12 |
$0.00 |
| 90677 |
|
255 |
255 |
$0.00 |
| 91301 |
|
958 |
933 |
$0.00 |
| 81015 |
|
129 |
127 |
$0.00 |
| 90723 |
|
141 |
141 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
457 |
439 |
$0.00 |
| 90697 |
|
168 |
166 |
$0.00 |
| 92250 |
|
41 |
41 |
$0.00 |
| 0001A |
|
153 |
153 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |
| 90716 |
|
14 |
14 |
$0.00 |
| 82607 |
|
25 |
25 |
$0.00 |
| G9012 |
Other specified case management service not elsewhere classified |
80 |
67 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
75 |
69 |
$0.00 |
| 0064A |
|
149 |
148 |
$0.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
303 |
194 |
$0.00 |
| 91306 |
|
67 |
67 |
$0.00 |
| 0072A |
|
38 |
38 |
$0.00 |
| 3072F |
|
68 |
67 |
$0.00 |
| 91307 |
|
114 |
114 |
$0.00 |
| 82950 |
|
24 |
24 |
$0.00 |
| 99000 |
|
37 |
36 |
$0.00 |
| 85652 |
|
30 |
30 |
$0.00 |
| 82746 |
|
13 |
13 |
$0.00 |
| 59430 |
|
28 |
26 |
$0.00 |
| 99386 |
|
12 |
12 |
$0.00 |
| 1111F |
|
38 |
38 |
$0.00 |
| 0031A |
|
19 |
19 |
$0.00 |
| 91303 |
|
18 |
18 |
$0.00 |
| 86762 |
|
20 |
19 |
$0.00 |