| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,254 |
22,362 |
$3.62M |
| T1015 |
Clinic visit/encounter, all-inclusive |
17,913 |
14,878 |
$1.42M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,511 |
8,977 |
$1.37M |
| 90832 |
Psychotherapy, 30 minutes with patient |
8,953 |
7,546 |
$1.34M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,274 |
3,093 |
$508K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,489 |
2,426 |
$373K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,416 |
2,347 |
$367K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,581 |
1,546 |
$245K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,283 |
1,235 |
$200K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
925 |
898 |
$141K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,253 |
4,875 |
$122K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,477 |
1,397 |
$114K |
| 99383 |
|
708 |
705 |
$99K |
| 90791 |
Psychiatric diagnostic evaluation |
663 |
654 |
$94K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
509 |
500 |
$74K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
249 |
249 |
$28K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
398 |
364 |
$19K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,032 |
4,830 |
$16K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
84 |
83 |
$13K |
| 81025 |
|
3,104 |
2,792 |
$10K |
| 76830 |
Ultrasound, transvaginal |
190 |
189 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,293 |
1,090 |
$9K |
| 97802 |
|
94 |
93 |
$9K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
225 |
201 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
340 |
322 |
$6K |
| 85018 |
|
6,713 |
6,381 |
$6K |
| 90715 |
|
480 |
458 |
$6K |
| 82947 |
|
4,585 |
4,395 |
$5K |
| 81003 |
|
5,753 |
4,261 |
$5K |
| 99384 |
|
24 |
24 |
$4K |
| 99215 |
Prolong outpt/office vis |
30 |
28 |
$4K |
| 90461 |
|
1,286 |
1,156 |
$4K |
| 90670 |
|
426 |
402 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
26 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
24 |
24 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
26 |
26 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
70 |
70 |
$4K |
| 90686 |
|
1,329 |
1,253 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
77 |
48 |
$3K |
| 0012A |
|
72 |
72 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
33 |
31 |
$3K |
| 99050 |
|
236 |
223 |
$2K |
| 99406 |
|
299 |
281 |
$2K |
| 0011A |
|
59 |
59 |
$2K |
| 90620 |
|
77 |
72 |
$2K |
| 0002A |
|
55 |
55 |
$2K |
| 0001A |
|
57 |
52 |
$2K |
| 87430 |
|
531 |
515 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
26 |
25 |
$2K |
| 59430 |
|
12 |
12 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
290 |
278 |
$2K |
| 90677 |
|
119 |
111 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
50 |
27 |
$2K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
12 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
292 |
263 |
$1K |
| 82962 |
|
719 |
651 |
$945.90 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,068 |
1,022 |
$941.19 |
| 99051 |
|
87 |
82 |
$928.81 |
| 92015 |
Determination of refractive state |
782 |
767 |
$894.14 |
| 90674 |
|
85 |
70 |
$772.40 |
| 76801 |
|
12 |
12 |
$722.02 |
| 76820 |
|
43 |
30 |
$688.13 |
| 80305 |
|
68 |
43 |
$666.25 |
| 90658 |
|
59 |
58 |
$576.35 |
| 90688 |
|
41 |
40 |
$567.01 |
| 81005 |
|
484 |
364 |
$490.51 |
| G9153 |
Mapcp demonstration - physician incentive pool |
13 |
13 |
$390.00 |
| 90649 |
|
76 |
75 |
$366.48 |
| 90685 |
|
375 |
352 |
$354.38 |
| 90661 |
|
13 |
13 |
$330.00 |
| 90633 |
|
424 |
386 |
$315.51 |
| 83655 |
|
112 |
111 |
$234.42 |
| 90651 |
|
534 |
515 |
$214.41 |
| 1159F |
|
2,829 |
2,702 |
$192.37 |
| 90734 |
|
266 |
256 |
$119.90 |
| 98968 |
|
14 |
13 |
$119.85 |
| 98967 |
|
18 |
16 |
$87.56 |
| 90723 |
|
192 |
187 |
$77.40 |
| 87807 |
|
31 |
30 |
$67.68 |
| 87400 |
|
18 |
18 |
$43.05 |
| 90647 |
|
239 |
233 |
$0.22 |
| 3078F |
|
3,235 |
2,937 |
$0.22 |
| 3079F |
|
1,343 |
1,223 |
$0.08 |
| 3074F |
|
3,487 |
3,117 |
$0.01 |
| 1126F |
|
1,784 |
1,545 |
$0.01 |
| 3075F |
|
292 |
277 |
$0.00 |
| 3008F |
|
2,660 |
2,332 |
$0.00 |
| 3080F |
|
142 |
137 |
$0.00 |
| 1125F |
|
109 |
105 |
$0.00 |
| 1220F |
|
79 |
78 |
$0.00 |
| 3044F |
|
70 |
70 |
$0.00 |
| 1036F |
|
30 |
28 |
$0.00 |
| 90680 |
|
20 |
19 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
53 |
53 |
$0.00 |
| 4037F |
|
12 |
12 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 1160F |
|
95 |
92 |
$0.00 |
| 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 |
426 |
354 |
$0.00 |
| 3077F |
|
249 |
237 |
$0.00 |
| 99173 |
|
436 |
433 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
53 |
51 |
$0.00 |