| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
80,453 |
70,794 |
$14.90M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
36,343 |
32,373 |
$6.41M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26,489 |
21,817 |
$5.25M |
| D9999 |
Unspecified adjunctive procedure, by report |
6,979 |
6,607 |
$2.11M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,682 |
5,181 |
$1.19M |
| 90834 |
Psychotherapy, 45 minutes with patient |
6,624 |
4,761 |
$1.16M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,543 |
4,336 |
$956K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,971 |
3,773 |
$833K |
| 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 |
18,436 |
14,603 |
$697K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,845 |
3,024 |
$655K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,914 |
2,845 |
$630K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,954 |
1,875 |
$412K |
| 99441 |
|
1,826 |
1,692 |
$387K |
| 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 |
2,318 |
2,124 |
$356K |
| 99443 |
|
1,368 |
1,256 |
$287K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
2,465 |
2,115 |
$284K |
| 99442 |
|
1,315 |
1,234 |
$275K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,713 |
630 |
$235K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,960 |
1,910 |
$233K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,000 |
943 |
$208K |
| 92002 |
|
1,584 |
1,529 |
$190K |
| 92250 |
|
3,946 |
3,663 |
$153K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
808 |
799 |
$147K |
| 99397 |
|
732 |
681 |
$131K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
697 |
682 |
$129K |
| 98968 |
|
729 |
546 |
$128K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
712 |
673 |
$122K |
| 90837 |
Psychotherapy, 53 minutes with patient |
547 |
470 |
$105K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,225 |
1,176 |
$71K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,213 |
1,111 |
$58K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
253 |
240 |
$49K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
3,575 |
2,191 |
$36K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
187 |
169 |
$31K |
| 99381 |
|
151 |
142 |
$29K |
| 36415 |
Collection of venous blood by venipuncture |
6,263 |
5,443 |
$24K |
| H2015 |
Comprehensive community support services, per 15 minutes |
9,123 |
3,986 |
$18K |
| 90678 |
|
100 |
82 |
$15K |
| V2020 |
Frames, purchases |
4,354 |
4,150 |
$12K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,291 |
1,259 |
$9K |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
1,688 |
1,490 |
$9K |
| 99383 |
|
42 |
42 |
$8K |
| 90791 |
Psychiatric diagnostic evaluation |
38 |
37 |
$8K |
| D0140 |
Limited oral evaluation - problem focused |
24 |
24 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,039 |
1,858 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,299 |
2,127 |
$3K |
| 99384 |
|
14 |
14 |
$3K |
| 98967 |
|
62 |
49 |
$3K |
| 90480 |
|
706 |
644 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
62 |
62 |
$2K |
| 92015 |
Determination of refractive state |
5,377 |
5,058 |
$896.09 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
119 |
106 |
$840.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
17 |
14 |
$688.35 |
| 90461 |
|
868 |
788 |
$592.78 |
| 82948 |
|
2,433 |
2,057 |
$554.28 |
| 81025 |
|
234 |
207 |
$384.93 |
| 90656 |
|
387 |
368 |
$320.70 |
| 90750 |
|
123 |
108 |
$246.58 |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
15 |
13 |
$64.56 |
| 80061 |
Lipid panel |
13 |
12 |
$14.77 |
| 85018 |
|
1,477 |
1,331 |
$13.72 |
| 90473 |
|
48 |
41 |
$11.15 |
| 90658 |
|
55 |
55 |
$10.94 |
| 94760 |
|
18 |
12 |
$10.40 |
| 86580 |
|
14 |
13 |
$9.68 |
| 81002 |
|
317 |
287 |
$3.72 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
410 |
290 |
$0.00 |
| 83655 |
|
39 |
37 |
$0.00 |
| 90662 |
|
415 |
385 |
$0.00 |
| 96160 |
|
115 |
107 |
$0.00 |
| G9316 |
Documentation of patient-specific risk assessment with a risk calculator based on multi-institutional clinical data, the specific risk calculator used, and communication of risk assessment from risk calculator with the patient or family |
120 |
112 |
$0.00 |
| 90715 |
|
167 |
151 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
216 |
199 |
$0.00 |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
145 |
65 |
$0.00 |
| 2028F |
|
48 |
42 |
$0.00 |
| 99173 |
|
44 |
43 |
$0.00 |
| G9920 |
Screening performed and negative |
120 |
112 |
$0.00 |
| 91320 |
|
18 |
18 |
$0.00 |
| 3008F |
|
25,281 |
21,414 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,585 |
3,286 |
$0.00 |
| 92551 |
|
178 |
155 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
40 |
38 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
301 |
274 |
$0.00 |