| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47,259 |
42,137 |
$3.18M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,571 |
11,692 |
$984K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,952 |
1,903 |
$209K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,658 |
1,573 |
$177K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,153 |
2,024 |
$174K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,210 |
2,024 |
$149K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,412 |
1,380 |
$137K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
853 |
823 |
$82K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
361 |
334 |
$34K |
| H1000 |
Prenatal care, at-risk assessment |
473 |
303 |
$33K |
| 99201 |
|
581 |
491 |
$31K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,408 |
1,251 |
$19K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
192 |
187 |
$14K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,103 |
3,012 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,044 |
4,874 |
$12K |
| 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 |
277 |
251 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
92 |
80 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
212 |
208 |
$7K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
140 |
111 |
$6K |
| 99381 |
|
62 |
49 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
56 |
54 |
$5K |
| 0011A |
|
170 |
158 |
$4K |
| 99383 |
|
27 |
26 |
$3K |
| 0012A |
|
105 |
98 |
$2K |
| 85018 |
|
4,902 |
4,777 |
$2K |
| 83655 |
|
986 |
965 |
$2K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
20 |
15 |
$1K |
| 99382 |
|
12 |
12 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
204 |
188 |
$1K |
| 0001A |
|
37 |
36 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
218 |
199 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
27 |
25 |
$1K |
| 0002A |
|
30 |
29 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
17 |
17 |
$926.10 |
| 0031A |
|
39 |
39 |
$840.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
345 |
314 |
$540.96 |
| 76801 |
|
17 |
13 |
$322.31 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
18 |
12 |
$301.13 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
67 |
64 |
$218.36 |
| 1159F |
|
12,277 |
11,227 |
$165.35 |
| 81003 |
|
421 |
387 |
$158.01 |
| 90686 |
|
420 |
406 |
$140.66 |
| 3352F |
|
372 |
274 |
$119.14 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
30 |
30 |
$115.25 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
14 |
$106.80 |
| 3008F |
|
19,726 |
17,981 |
$105.66 |
| 99173 |
|
2,076 |
1,836 |
$102.31 |
| 90697 |
|
131 |
125 |
$98.76 |
| 3074F |
|
10,025 |
9,308 |
$92.61 |
| 92551 |
|
1,947 |
1,705 |
$73.78 |
| 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 |
1,000 |
783 |
$58.20 |
| 87807 |
|
15 |
14 |
$57.18 |
| 81025 |
|
113 |
99 |
$50.19 |
| 99188 |
|
14 |
14 |
$38.54 |
| 36416 |
|
1,778 |
1,721 |
$28.00 |
| 1160F |
|
12,006 |
10,985 |
$25.22 |
| 1000F |
|
4,651 |
4,212 |
$25.18 |
| 1034F |
|
2,009 |
1,695 |
$24.94 |
| 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 |
30 |
16 |
$15.59 |
| 3078F |
|
8,073 |
7,509 |
$12.61 |
| 81001 |
|
14 |
14 |
$8.54 |
| 36415 |
Collection of venous blood by venipuncture |
98 |
71 |
$5.00 |
| 1125F |
|
2,298 |
2,075 |
$0.00 |
| 1126F |
|
7,827 |
7,343 |
$0.00 |
| 1036F |
|
8,776 |
8,091 |
$0.00 |
| 3080F |
|
230 |
216 |
$0.00 |
| 1220F |
|
305 |
296 |
$0.00 |
| 3075F |
|
342 |
330 |
$0.00 |
| 3079F |
|
2,555 |
2,396 |
$0.00 |
| 3353F |
|
89 |
71 |
$0.00 |
| 91301 |
|
106 |
98 |
$0.00 |
| 90651 |
|
90 |
89 |
$0.00 |
| 99000 |
|
223 |
172 |
$0.00 |
| 96127 |
|
207 |
203 |
$0.00 |
| 90744 |
|
17 |
17 |
$0.00 |
| 90723 |
|
40 |
39 |
$0.00 |
| 1111F |
|
29 |
29 |
$0.00 |
| 90696 |
|
14 |
14 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
18 |
15 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
16 |
14 |
$0.00 |
| 99406 |
|
17 |
15 |
$0.00 |
| 90698 |
|
23 |
23 |
$0.00 |
| 3077F |
|
747 |
661 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
141 |
131 |
$0.00 |
| 90648 |
|
145 |
142 |
$0.00 |
| 90670 |
|
588 |
567 |
$0.00 |
| 90633 |
|
77 |
72 |
$0.00 |
| 96160 |
|
55 |
53 |
$0.00 |
| 90710 |
|
108 |
107 |
$0.00 |
| 90681 |
|
56 |
56 |
$0.00 |
| 91300 |
|
16 |
14 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90734 |
|
48 |
45 |
$0.00 |