| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
126,059 |
90,134 |
$3.76M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
59,442 |
44,744 |
$2.78M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
9,785 |
9,010 |
$741K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
8,593 |
8,090 |
$674K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,883 |
5,581 |
$151K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,429 |
2,200 |
$119K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,161 |
964 |
$64K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
232 |
208 |
$12K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
474 |
282 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
451 |
362 |
$8K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
502 |
205 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
197 |
159 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
46 |
42 |
$2K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
37 |
24 |
$543.78 |
| 87428 |
|
17 |
12 |
$375.14 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$211.42 |
| 99441 |
|
17 |
16 |
$204.36 |
| 90756 |
|
13 |
13 |
$197.05 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$140.40 |
| 81002 |
|
81 |
77 |
$89.90 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
13 |
13 |
$64.76 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
13 |
12 |
$26.29 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
13 |
$14.25 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
13 |
12 |
$0.00 |