| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,294 |
25,295 |
$912K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,899 |
1,642 |
$144K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,551 |
8,137 |
$120K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,449 |
3,049 |
$90K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,782 |
1,761 |
$73K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
912 |
897 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
791 |
781 |
$48K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,360 |
1,312 |
$46K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
638 |
602 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
582 |
575 |
$37K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
448 |
438 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
438 |
409 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
337 |
303 |
$17K |
| 99173 |
|
572 |
563 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
360 |
323 |
$15K |
| 90832 |
Psychotherapy, 30 minutes with patient |
369 |
257 |
$14K |
| 99051 |
|
5,317 |
5,033 |
$11K |
| 87807 |
|
929 |
890 |
$11K |
| 92015 |
Determination of refractive state |
2,560 |
2,257 |
$6K |
| 90791 |
Psychiatric diagnostic evaluation |
72 |
71 |
$6K |
| 92552 |
|
662 |
650 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
135 |
133 |
$2K |
| 99490 |
Ccm add 20min |
110 |
98 |
$2K |
| 99381 |
|
25 |
25 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
35 |
29 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
50 |
49 |
$1K |
| 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 |
52 |
52 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
24 |
24 |
$1K |
| 96127 |
|
448 |
442 |
$1K |
| 17110 |
|
90 |
83 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
39 |
39 |
$677.49 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
72 |
68 |
$473.36 |
| 92567 |
|
32 |
32 |
$334.61 |
| 99442 |
|
14 |
12 |
$301.60 |
| 99050 |
|
47 |
42 |
$300.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
18 |
$258.79 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
14 |
14 |
$196.52 |
| 82962 |
|
71 |
67 |
$167.30 |
| 71046 |
Radiologic examination, chest; 2 views |
16 |
15 |
$150.64 |
| 81002 |
|
407 |
381 |
$104.43 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
109 |
105 |
$53.86 |
| 90715 |
|
56 |
55 |
$0.00 |
| 3078F |
|
156 |
136 |
$0.00 |
| 90633 |
|
129 |
129 |
$0.00 |
| 3077F |
|
14 |
13 |
$0.00 |
| 90671 |
|
53 |
53 |
$0.00 |
| 90710 |
|
53 |
52 |
$0.00 |
| 90380 |
|
13 |
13 |
$0.00 |
| 90658 |
|
74 |
74 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 1159F |
|
39 |
37 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
32 |
29 |
$0.00 |
| 1160F |
|
39 |
37 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 90697 |
|
280 |
276 |
$0.00 |
| 90651 |
|
97 |
97 |
$0.00 |
| 90619 |
|
91 |
90 |
$0.00 |
| 3079F |
|
75 |
68 |
$0.00 |
| 90677 |
|
232 |
228 |
$0.00 |
| 90686 |
|
81 |
81 |
$0.00 |
| 90680 |
|
206 |
202 |
$0.00 |
| 3074F |
|
174 |
155 |
$0.00 |
| 3075F |
|
29 |
29 |
$0.00 |
| 90716 |
|
26 |
26 |
$0.00 |
| 90696 |
|
26 |
26 |
$0.00 |
| 90381 |
|
14 |
14 |
$0.00 |