| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
64,000 |
48,632 |
$11.43M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,953 |
19,557 |
$4.60M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,810 |
6,198 |
$1.31M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,839 |
6,086 |
$1.20M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,755 |
6,037 |
$848K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,558 |
3,179 |
$648K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,991 |
3,000 |
$615K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,977 |
1,830 |
$405K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
2,738 |
1,090 |
$368K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,787 |
1,550 |
$341K |
| 99460 |
|
1,137 |
1,027 |
$261K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,445 |
1,168 |
$255K |
| 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 |
2,795 |
2,327 |
$176K |
| 99462 |
|
711 |
569 |
$175K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
689 |
400 |
$169K |
| 98940 |
|
1,005 |
415 |
$128K |
| X5622 |
|
909 |
547 |
$125K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
694 |
434 |
$110K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
11,734 |
10,168 |
$109K |
| 90837 |
Psychotherapy, 53 minutes with patient |
496 |
320 |
$98K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
421 |
370 |
$63K |
| 99222 |
Initial hospital care, per day, moderate complexity |
419 |
340 |
$57K |
| 59025 |
Fetal non-stress test |
2,144 |
1,409 |
$53K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
156 |
148 |
$43K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
887 |
721 |
$43K |
| 99233 |
Prolong inpt eval add15 m |
194 |
123 |
$34K |
| 99188 |
|
3,067 |
2,491 |
$31K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
164 |
150 |
$28K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
153 |
106 |
$27K |
| 93000 |
|
186 |
162 |
$23K |
| 99223 |
Prolong inpt eval add15 m |
43 |
41 |
$8K |
| 91305 |
|
27 |
27 |
$6K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
16 |
13 |
$3K |
| 99177 |
|
479 |
442 |
$3K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
2,859 |
2,180 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
911 |
753 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31,205 |
26,687 |
$2K |
| 91306 |
|
206 |
177 |
$1K |
| 91307 |
|
208 |
186 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,632 |
5,861 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
20,961 |
17,337 |
$1K |
| 11981 |
|
28 |
25 |
$877.26 |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
29 |
25 |
$846.92 |
| 90670 |
|
5,565 |
5,113 |
$764.70 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15,441 |
13,674 |
$632.30 |
| 90686 |
|
10,491 |
9,227 |
$280.33 |
| 0011A |
|
257 |
252 |
$247.68 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,554 |
1,313 |
$178.29 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,533 |
6,997 |
$128.34 |
| 85027 |
|
2,435 |
2,065 |
$112.55 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,141 |
1,029 |
$100.83 |
| 36416 |
|
4,125 |
3,357 |
$99.99 |
| 81000 |
|
2,005 |
1,645 |
$45.61 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,331 |
1,131 |
$45.37 |
| 85018 |
|
3,380 |
2,841 |
$36.25 |
| 81025 |
|
2,142 |
1,731 |
$35.12 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
408 |
253 |
$26.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
56 |
41 |
$25.17 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
4,311 |
1,491 |
$23.16 |
| 87210 |
|
1,586 |
1,278 |
$17.82 |
| 87081 |
|
1,434 |
1,316 |
$15.02 |
| 96127 |
|
5,882 |
5,101 |
$14.77 |
| 82950 |
|
282 |
213 |
$11.36 |
| 92551 |
|
7,878 |
6,989 |
$8.35 |
| 99173 |
|
7,026 |
6,210 |
$1.83 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
594 |
496 |
$0.49 |
| 90680 |
|
1,947 |
1,784 |
$0.00 |
| 90696 |
|
490 |
430 |
$0.00 |
| 90677 |
|
246 |
207 |
$0.00 |
| 90620 |
|
156 |
131 |
$0.00 |
| 90651 |
|
1,776 |
1,541 |
$0.00 |
| 90723 |
|
3,987 |
3,651 |
$0.00 |
| 90656 |
|
860 |
426 |
$0.00 |
| 96111 |
|
1,211 |
1,202 |
$0.00 |
| 91301 |
|
1,384 |
1,233 |
$0.00 |
| 90688 |
|
155 |
142 |
$0.00 |
| 90716 |
|
33 |
24 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
167 |
166 |
$0.00 |
| 80047 |
|
48 |
38 |
$0.00 |
| 83825 |
|
60 |
46 |
$0.00 |
| 0064A |
|
206 |
177 |
$0.00 |
| 90480 |
|
76 |
56 |
$0.00 |
| 82043 |
|
22 |
13 |
$0.00 |
| 0012A |
|
43 |
43 |
$0.00 |
| 90734 |
|
1,160 |
998 |
$0.00 |
| 90700 |
|
960 |
844 |
$0.00 |
| 90633 |
|
3,009 |
2,587 |
$0.00 |
| 90715 |
|
1,919 |
1,645 |
$0.00 |
| 90648 |
|
5,691 |
5,199 |
$0.00 |
| 90710 |
|
1,874 |
1,670 |
$0.00 |
| 90746 |
|
73 |
64 |
$0.00 |
| 82947 |
|
149 |
112 |
$0.00 |
| 90473 |
|
1,779 |
1,609 |
$0.00 |
| 90803 |
|
2,275 |
842 |
$0.00 |
| 90685 |
|
892 |
839 |
$0.00 |
| 91300 |
|
40 |
33 |
$0.00 |
| 91321 |
|
85 |
68 |
$0.00 |
| 90713 |
|
17 |
13 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
109 |
78 |
$0.00 |
| 81002 |
|
119 |
97 |
$0.00 |
| 0071A |
|
154 |
137 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
240 |
105 |
$0.00 |
| 90707 |
|
33 |
24 |
$0.00 |
| 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 |
60 |
40 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
15 |
13 |
$0.00 |
| 80061 |
Lipid panel |
16 |
14 |
$0.00 |
| 91311 |
|
13 |
13 |
$0.00 |
| 90838 |
|
38 |
12 |
$0.00 |