| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49,842 |
37,869 |
$9.24M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,433 |
15,250 |
$3.91M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,634 |
4,061 |
$895K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
2,916 |
1,776 |
$638K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,786 |
2,482 |
$490K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,135 |
1,097 |
$436K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,877 |
1,709 |
$353K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,504 |
2,223 |
$344K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,058 |
612 |
$214K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,017 |
870 |
$194K |
| 92002 |
|
508 |
456 |
$114K |
| X5622 |
|
536 |
401 |
$111K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
616 |
514 |
$87K |
| 90832 |
Psychotherapy, 30 minutes with patient |
285 |
194 |
$70K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
5,185 |
4,357 |
$40K |
| 98940 |
|
172 |
94 |
$36K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
126 |
109 |
$27K |
| 99188 |
|
1,483 |
1,213 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
70 |
66 |
$15K |
| 11981 |
|
132 |
85 |
$11K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
39 |
37 |
$10K |
| 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 |
352 |
253 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
476 |
366 |
$6K |
| 99442 |
|
30 |
22 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
59 |
54 |
$5K |
| 99441 |
|
18 |
14 |
$4K |
| 59025 |
Fetal non-stress test |
76 |
55 |
$3K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,717 |
1,323 |
$3K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 92015 |
Determination of refractive state |
797 |
723 |
$2K |
| 58300 |
|
19 |
12 |
$2K |
| 91306 |
|
123 |
107 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18,768 |
15,964 |
$1K |
| 99177 |
|
225 |
208 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,531 |
3,835 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
13,985 |
11,205 |
$982.96 |
| 0011A |
|
258 |
257 |
$482.71 |
| 90686 |
|
5,518 |
4,801 |
$333.45 |
| 93000 |
|
20 |
12 |
$292.42 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
8,580 |
7,391 |
$209.83 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,590 |
988 |
$77.97 |
| 82947 |
|
421 |
331 |
$48.18 |
| 85027 |
|
627 |
476 |
$38.33 |
| 81000 |
|
1,861 |
1,469 |
$37.60 |
| 90648 |
|
3,092 |
2,728 |
$33.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
728 |
596 |
$30.28 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,064 |
909 |
$19.96 |
| 92551 |
|
4,400 |
3,847 |
$14.48 |
| 81002 |
|
137 |
111 |
$0.70 |
| 99173 |
|
4,233 |
3,711 |
$0.00 |
| 90700 |
|
202 |
173 |
$0.00 |
| 81025 |
|
1,604 |
1,199 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
204 |
92 |
$0.00 |
| 90838 |
|
40 |
13 |
$0.00 |
| 87210 |
|
1,540 |
1,194 |
$0.00 |
| 90670 |
|
2,888 |
2,579 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,013 |
924 |
$0.00 |
| 90633 |
|
924 |
792 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
184 |
105 |
$0.00 |
| 90710 |
|
536 |
463 |
$0.00 |
| 90685 |
|
179 |
162 |
$0.00 |
| 90473 |
|
999 |
899 |
$0.00 |
| 90715 |
|
992 |
847 |
$0.00 |
| 90734 |
|
401 |
323 |
$0.00 |
| 0071A |
|
40 |
35 |
$0.00 |
| 90746 |
|
51 |
40 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
279 |
232 |
$0.00 |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
260 |
164 |
$0.00 |
| 98968 |
|
118 |
52 |
$0.00 |
| 90803 |
|
274 |
73 |
$0.00 |
| 90785 |
|
55 |
24 |
$0.00 |
| 98960 |
|
78 |
40 |
$0.00 |
| V2020 |
Frames, purchases |
95 |
88 |
$0.00 |
| 90723 |
|
1,946 |
1,700 |
$0.00 |
| 96161 |
|
100 |
89 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,533 |
4,673 |
$0.00 |
| 90651 |
|
739 |
627 |
$0.00 |
| 87081 |
|
1,381 |
1,272 |
$0.00 |
| 76801 |
|
13 |
12 |
$0.00 |
| 85018 |
|
1,741 |
1,457 |
$0.00 |
| 90656 |
|
498 |
265 |
$0.00 |
| 96127 |
|
2,293 |
1,940 |
$0.00 |
| 82950 |
|
110 |
94 |
$0.00 |
| 96111 |
|
683 |
673 |
$0.00 |
| 36416 |
|
914 |
706 |
$0.00 |
| 83825 |
|
36 |
29 |
$0.00 |
| 90696 |
|
107 |
79 |
$0.00 |
| 91301 |
|
1,329 |
1,203 |
$0.00 |
| 0064A |
|
123 |
107 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
60 |
55 |
$0.00 |
| T1016 |
Case management, each 15 minutes |
410 |
176 |
$0.00 |
| 90677 |
|
100 |
78 |
$0.00 |
| 91314 |
|
12 |
12 |
$0.00 |
| 90680 |
|
959 |
845 |
$0.00 |
| 0144A |
|
12 |
12 |
$0.00 |
| 90688 |
|
144 |
142 |
$0.00 |
| 91307 |
|
43 |
38 |
$0.00 |
| 0012A |
|
46 |
46 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
52 |
50 |
$0.00 |
| 90620 |
|
32 |
28 |
$0.00 |