| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,133 |
18,973 |
$1.85M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,752 |
7,996 |
$896K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
95 |
95 |
$180K |
| 90834 |
Psychotherapy, 45 minutes with patient |
870 |
526 |
$148K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,511 |
1,485 |
$141K |
| 99460 |
|
347 |
346 |
$70K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
428 |
425 |
$62K |
| 90837 |
Psychotherapy, 53 minutes with patient |
355 |
251 |
$60K |
| 99215 |
Prolong outpt/office vis |
485 |
459 |
$48K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
291 |
283 |
$47K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
460 |
439 |
$33K |
| D0120 |
Periodic oral evaluation - established patient |
451 |
451 |
$28K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
231 |
227 |
$25K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,514 |
5,407 |
$21K |
| D0274 |
Bitewings - four radiographic images |
337 |
337 |
$19K |
| 36415 |
Collection of venous blood by venipuncture |
9,080 |
8,117 |
$19K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,100 |
2,061 |
$11K |
| 90688 |
|
993 |
970 |
$9K |
| 99462 |
|
80 |
56 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
195 |
194 |
$7K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
98 |
58 |
$7K |
| 80305 |
|
3,921 |
3,210 |
$7K |
| D0220 |
Intraoral - periapical first radiographic image |
100 |
95 |
$6K |
| 82075 |
|
3,269 |
2,735 |
$6K |
| 81003 |
|
1,582 |
1,353 |
$5K |
| D1120 |
Prophylaxis - child |
357 |
356 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,119 |
2,064 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
65 |
65 |
$3K |
| 90474 |
|
518 |
503 |
$3K |
| 82947 |
|
2,813 |
2,560 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
298 |
263 |
$2K |
| 87428 |
|
78 |
75 |
$2K |
| D1110 |
Prophylaxis - adult |
83 |
83 |
$2K |
| 90686 |
|
212 |
209 |
$2K |
| 81025 |
|
229 |
218 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
26 |
$1K |
| 90651 |
|
42 |
41 |
$1K |
| 0072A |
|
29 |
29 |
$1K |
| D2160 |
|
19 |
12 |
$1K |
| 36416 |
|
4,034 |
3,788 |
$1K |
| 0071A |
|
27 |
27 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
28 |
$1K |
| 0002A |
|
26 |
26 |
$960.00 |
| D1206 |
Topical application of fluoride varnish |
383 |
383 |
$851.10 |
| 85018 |
|
535 |
527 |
$762.24 |
| 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 |
367 |
365 |
$691.68 |
| 0012A |
|
18 |
16 |
$640.00 |
| 99441 |
|
14 |
13 |
$639.71 |
| 0001A |
|
16 |
16 |
$560.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
26 |
$512.50 |
| 90685 |
|
44 |
44 |
$441.97 |
| 0004A |
|
18 |
14 |
$440.00 |
| 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 |
1,032 |
952 |
$416.15 |
| 86803 |
|
54 |
53 |
$351.89 |
| 90670 |
|
379 |
377 |
$323.46 |
| 90746 |
|
25 |
25 |
$270.00 |
| 90662 |
|
44 |
44 |
$234.98 |
| 90715 |
|
28 |
28 |
$228.49 |
| 86703 |
|
19 |
19 |
$120.42 |
| 0124A |
|
15 |
13 |
$73.71 |
| 80061 |
Lipid panel |
17 |
17 |
$18.97 |
| 80053 |
Comprehensive metabolic panel |
16 |
16 |
$18.95 |
| G0008 |
Administration of influenza virus vaccine |
45 |
45 |
$9.80 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
66 |
65 |
$6.24 |
| 90697 |
|
387 |
375 |
$0.51 |
| 90671 |
|
278 |
269 |
$0.50 |
| 90680 |
|
329 |
320 |
$0.24 |
| 90681 |
|
48 |
47 |
$0.12 |
| 90687 |
|
35 |
34 |
$0.08 |
| 90633 |
|
45 |
45 |
$0.03 |
| 3044F |
|
107 |
103 |
$0.00 |
| 1036F |
|
2,571 |
2,287 |
$0.00 |
| 3074F |
|
2,285 |
2,115 |
$0.00 |
| 3080F |
|
400 |
373 |
$0.00 |
| 3075F |
|
572 |
547 |
$0.00 |
| 90698 |
|
92 |
92 |
$0.00 |
| 1126F |
|
2,299 |
2,136 |
$0.00 |
| 82044 |
|
25 |
24 |
$0.00 |
| 3079F |
|
1,160 |
1,090 |
$0.00 |
| 1125F |
|
1,304 |
1,211 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 90732 |
|
12 |
12 |
$0.00 |
| 3077F |
|
521 |
488 |
$0.00 |
| 1159F |
|
1,165 |
1,048 |
$0.00 |
| 96160 |
|
381 |
369 |
$0.00 |
| 3078F |
|
1,823 |
1,689 |
$0.00 |
| 1160F |
|
1,166 |
1,049 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
24 |
24 |
$0.00 |
| 84030 |
|
16 |
13 |
$0.00 |