| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,109 |
27,363 |
$1.04M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,620 |
15,015 |
$636K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
3,175 |
2,719 |
$329K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,979 |
2,681 |
$167K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,020 |
1,920 |
$133K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,967 |
6,829 |
$80K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,238 |
2,595 |
$79K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,211 |
3,806 |
$68K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,575 |
1,202 |
$51K |
| 90837 |
Psychotherapy, 53 minutes with patient |
884 |
624 |
$41K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
835 |
595 |
$31K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,143 |
960 |
$26K |
| 59426 |
|
63 |
49 |
$25K |
| 90678 |
|
130 |
96 |
$23K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
297 |
249 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,212 |
1,969 |
$17K |
| 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 |
1,107 |
962 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
265 |
250 |
$16K |
| 91320 |
|
152 |
120 |
$14K |
| 90686 |
|
1,658 |
1,441 |
$12K |
| 90715 |
|
470 |
363 |
$11K |
| 90473 |
|
897 |
832 |
$10K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
90 |
72 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
117 |
101 |
$7K |
| 99460 |
|
135 |
125 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
897 |
827 |
$7K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
121 |
111 |
$6K |
| 90688 |
|
1,290 |
1,147 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
99 |
95 |
$5K |
| 90656 |
|
441 |
389 |
$4K |
| 92551 |
|
570 |
518 |
$3K |
| 76801 |
|
80 |
57 |
$3K |
| 3008F |
|
12,747 |
10,796 |
$2K |
| 90480 |
|
143 |
113 |
$2K |
| 90677 |
|
707 |
682 |
$2K |
| 96381 |
|
165 |
128 |
$2K |
| 81002 |
|
1,015 |
816 |
$2K |
| 99462 |
|
66 |
53 |
$2K |
| 3078F |
|
10,263 |
8,805 |
$2K |
| 3079F |
|
5,857 |
5,082 |
$2K |
| 99173 |
|
432 |
396 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
30 |
26 |
$1K |
| 99177 |
|
278 |
245 |
$1K |
| 81025 |
|
398 |
318 |
$1K |
| 3074F |
|
11,267 |
9,661 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
45 |
44 |
$768.06 |
| 3075F |
|
2,900 |
2,587 |
$670.00 |
| 3077F |
|
1,249 |
1,032 |
$450.00 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
14 |
12 |
$444.28 |
| 59025 |
Fetal non-stress test |
19 |
12 |
$357.63 |
| 90670 |
|
1,330 |
1,194 |
$316.44 |
| 85018 |
|
206 |
170 |
$283.01 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
14 |
14 |
$147.90 |
| 36415 |
Collection of venous blood by venipuncture |
179 |
154 |
$147.79 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
128 |
112 |
$83.52 |
| G0008 |
Administration of influenza virus vaccine |
314 |
272 |
$65.60 |
| 0502F |
|
6,509 |
4,199 |
$22.00 |
| 3080F |
|
31 |
28 |
$20.00 |
| 0503F |
|
284 |
246 |
$10.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
13 |
$3.51 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
15 |
14 |
$1.76 |
| 90723 |
|
848 |
788 |
$0.00 |
| 90680 |
|
1,000 |
926 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 0501F |
|
148 |
115 |
$0.00 |
| 3044F |
|
114 |
107 |
$0.00 |
| 90381 |
|
17 |
13 |
$0.00 |
| 90674 |
|
14 |
13 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
58 |
56 |
$0.00 |
| 2001F |
|
26 |
26 |
$0.00 |
| 90633 |
|
155 |
145 |
$0.00 |
| 1160F |
|
14 |
13 |
$0.00 |
| 90685 |
|
47 |
44 |
$0.00 |
| 90648 |
|
1,239 |
1,142 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
38 |
38 |
$0.00 |
| 99072 |
|
168 |
157 |
$0.00 |
| 90662 |
|
102 |
85 |
$0.00 |
| 90707 |
|
28 |
26 |
$0.00 |
| 90380 |
|
20 |
15 |
$0.00 |
| 90687 |
|
26 |
26 |
$0.00 |