| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
63,118 |
51,536 |
$2.96M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,011 |
16,399 |
$1.39M |
| T1015 |
Clinic visit/encounter, all-inclusive |
70,158 |
53,633 |
$1.25M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,233 |
3,807 |
$328K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
12,412 |
3,336 |
$326K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,542 |
3,656 |
$316K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,498 |
5,521 |
$187K |
| 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 |
7,515 |
5,884 |
$170K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,245 |
2,050 |
$167K |
| 99215 |
Prolong outpt/office vis |
1,545 |
1,287 |
$146K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
952 |
774 |
$75K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
879 |
817 |
$65K |
| 59425 |
|
1,276 |
1,019 |
$63K |
| 96152 |
|
3,148 |
2,224 |
$57K |
| 96158 |
|
2,744 |
2,241 |
$56K |
| 59426 |
|
875 |
569 |
$51K |
| 98940 |
|
2,449 |
1,063 |
$46K |
| 96156 |
|
2,064 |
1,763 |
$44K |
| 96150 |
|
1,559 |
1,186 |
$34K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,321 |
5,560 |
$32K |
| 98943 |
|
1,708 |
414 |
$31K |
| 96167 |
|
1,271 |
1,063 |
$27K |
| 96154 |
|
941 |
680 |
$23K |
| 0012A |
|
815 |
701 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
460 |
393 |
$20K |
| 90832 |
Psychotherapy, 30 minutes with patient |
455 |
384 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
164 |
132 |
$17K |
| 0011A |
|
910 |
721 |
$17K |
| 80305 |
|
1,829 |
1,403 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,235 |
1,067 |
$14K |
| 99381 |
|
196 |
174 |
$14K |
| 92015 |
Determination of refractive state |
1,082 |
873 |
$13K |
| 90834 |
Psychotherapy, 45 minutes with patient |
254 |
205 |
$13K |
| 0064A |
|
434 |
351 |
$12K |
| 0002A |
|
355 |
333 |
$12K |
| 0001A |
|
368 |
334 |
$12K |
| 99383 |
|
145 |
128 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,255 |
1,062 |
$11K |
| 0124A |
|
467 |
290 |
$10K |
| 99385 |
|
163 |
146 |
$10K |
| 99460 |
|
143 |
128 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
546 |
504 |
$9K |
| 81002 |
|
4,971 |
3,608 |
$9K |
| 0004A |
|
281 |
243 |
$8K |
| 0031A |
|
275 |
231 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
211 |
192 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
855 |
779 |
$7K |
| 90480 |
|
627 |
225 |
$6K |
| 90688 |
|
690 |
628 |
$6K |
| 99382 |
|
70 |
56 |
$6K |
| 0071A |
|
154 |
145 |
$5K |
| 99188 |
|
681 |
554 |
$4K |
| 96159 |
|
254 |
219 |
$4K |
| 0072A |
|
117 |
114 |
$4K |
| 81025 |
|
931 |
777 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
44 |
40 |
$2K |
| 54160 |
|
15 |
14 |
$2K |
| 90686 |
|
4,758 |
4,166 |
$1K |
| 92551 |
|
281 |
238 |
$1K |
| 92250 |
|
85 |
71 |
$1K |
| 80061 |
Lipid panel |
139 |
118 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
14 |
14 |
$1K |
| 90658 |
|
179 |
121 |
$1K |
| 0034A |
|
151 |
35 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
19 |
16 |
$1K |
| 90837 |
Psychotherapy, 53 minutes with patient |
13 |
12 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
108 |
44 |
$1K |
| 94760 |
|
295 |
256 |
$561.17 |
| 36415 |
Collection of venous blood by venipuncture |
563 |
468 |
$539.14 |
| 94250 |
|
28 |
24 |
$412.88 |
| 82962 |
|
139 |
119 |
$248.01 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
73 |
70 |
$206.56 |
| 90620 |
|
62 |
58 |
$155.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
130 |
113 |
$143.84 |
| 91320 |
|
355 |
149 |
$123.37 |
| 90656 |
|
145 |
143 |
$77.35 |
| 90633 |
|
865 |
759 |
$24.86 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
137 |
122 |
$24.00 |
| 87210 |
|
67 |
61 |
$5.82 |
| 90670 |
|
2,726 |
2,317 |
$1.05 |
| 90723 |
|
1,689 |
1,381 |
$0.87 |
| 90647 |
|
1,229 |
961 |
$0.80 |
| 90680 |
|
221 |
207 |
$0.47 |
| 83655 |
|
306 |
292 |
$0.45 |
| 85018 |
|
887 |
785 |
$0.38 |
| 90700 |
|
66 |
61 |
$0.27 |
| 90707 |
|
83 |
79 |
$0.23 |
| 90649 |
|
56 |
55 |
$0.22 |
| 90734 |
|
101 |
100 |
$0.21 |
| 90716 |
|
67 |
65 |
$0.20 |
| 90651 |
|
186 |
155 |
$0.07 |
| 90710 |
|
156 |
121 |
$0.03 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,868 |
2,558 |
$0.02 |
| 90696 |
|
12 |
12 |
$0.02 |
| 90681 |
|
406 |
294 |
$0.01 |
| 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 |
76 |
53 |
$0.00 |
| 90648 |
|
142 |
131 |
$0.00 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
14 |
13 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$0.00 |
| 90697 |
|
256 |
238 |
$0.00 |
| 87428 |
|
112 |
99 |
$0.00 |
| 90677 |
|
139 |
127 |
$0.00 |
| Q2036 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) |
15 |
15 |
$0.00 |
| 99386 |
|
22 |
17 |
$0.00 |
| 90619 |
|
18 |
12 |
$0.00 |
| 1000F |
|
14 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
44 |
42 |
$0.00 |