| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
95,332 |
90,457 |
$3.08M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
49,832 |
46,082 |
$1.62M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
11,545 |
11,479 |
$745K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,548 |
9,365 |
$657K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
9,710 |
9,671 |
$495K |
| 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 |
11,179 |
9,017 |
$305K |
| 90686 |
|
14,537 |
14,463 |
$151K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,974 |
2,971 |
$148K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,175 |
5,738 |
$141K |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,227 |
3,229 |
$113K |
| T1015 |
Clinic visit/encounter, all-inclusive |
577 |
468 |
$66K |
| 90670 |
|
5,848 |
5,809 |
$62K |
| 92551 |
|
12,480 |
12,423 |
$55K |
| 90688 |
|
2,863 |
2,850 |
$36K |
| 99441 |
|
2,169 |
2,139 |
$35K |
| 99215 |
Prolong outpt/office vis |
1,152 |
1,076 |
$33K |
| 0002A |
|
1,019 |
1,019 |
$32K |
| 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 |
997 |
721 |
$28K |
| 0001A |
|
926 |
925 |
$28K |
| 90680 |
|
2,387 |
2,379 |
$27K |
| 90647 |
|
2,483 |
2,456 |
$23K |
| 90633 |
|
1,877 |
1,868 |
$17K |
| 90791 |
Psychiatric diagnostic evaluation |
238 |
233 |
$16K |
| 98926 |
|
636 |
596 |
$14K |
| 97803 |
|
493 |
450 |
$14K |
| 90697 |
|
850 |
845 |
$12K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
132 |
131 |
$11K |
| 90723 |
|
1,095 |
1,087 |
$10K |
| 0004A |
|
331 |
331 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
152 |
146 |
$8K |
| 90671 |
|
579 |
579 |
$8K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
627 |
499 |
$8K |
| 99442 |
|
340 |
308 |
$8K |
| 0072A |
|
251 |
251 |
$7K |
| 0071A |
|
238 |
238 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,167 |
1,153 |
$6K |
| 0012A |
|
130 |
130 |
$5K |
| 97802 |
|
69 |
69 |
$5K |
| 90651 |
|
762 |
760 |
$4K |
| 0011A |
|
137 |
137 |
$4K |
| 90685 |
|
392 |
390 |
$4K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
63 |
60 |
$4K |
| 0124A |
|
188 |
187 |
$3K |
| 76801 |
|
38 |
37 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
298 |
278 |
$2K |
| 90677 |
|
294 |
292 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,774 |
1,752 |
$2K |
| 90656 |
|
352 |
344 |
$2K |
| 81025 |
|
293 |
282 |
$2K |
| 90648 |
|
247 |
247 |
$2K |
| 98927 |
|
76 |
74 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
318 |
314 |
$2K |
| 0003A |
|
92 |
92 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
30 |
29 |
$2K |
| 91320 |
|
169 |
168 |
$2K |
| 82947 |
|
622 |
534 |
$2K |
| 99381 |
|
33 |
31 |
$1K |
| 90681 |
|
262 |
260 |
$1K |
| 90734 |
|
204 |
203 |
$1K |
| 98925 |
|
70 |
69 |
$1K |
| 90715 |
|
244 |
239 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
27 |
16 |
$1K |
| 90700 |
|
121 |
120 |
$990.36 |
| 99460 |
|
13 |
13 |
$932.57 |
| 90716 |
|
111 |
111 |
$861.71 |
| 90710 |
|
112 |
112 |
$855.24 |
| 90707 |
|
111 |
111 |
$832.13 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
14 |
$819.34 |
| 90696 |
|
97 |
97 |
$763.42 |
| 90658 |
|
45 |
44 |
$748.00 |
| 90698 |
|
74 |
74 |
$719.43 |
| 36415 |
Collection of venous blood by venipuncture |
292 |
286 |
$686.59 |
| 96127 |
|
205 |
204 |
$686.00 |
| 59025 |
Fetal non-stress test |
20 |
13 |
$659.89 |
| 0031A |
|
14 |
14 |
$560.00 |
| 90480 |
|
169 |
168 |
$503.44 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
12 |
$485.21 |
| 99401 |
|
24 |
24 |
$482.89 |
| 90672 |
|
47 |
47 |
$413.49 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
65 |
55 |
$373.99 |
| 85610 |
|
91 |
67 |
$342.33 |
| 96150 |
|
17 |
15 |
$302.35 |
| 90619 |
|
24 |
24 |
$265.76 |
| 87430 |
|
12 |
12 |
$174.84 |
| 0054A |
|
12 |
12 |
$160.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
42 |
42 |
$152.58 |
| 90750 |
|
12 |
12 |
$144.20 |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
12 |
12 |
$118.50 |
| 99490 |
Ccm add 20min |
12 |
12 |
$81.19 |
| 93000 |
|
12 |
12 |
$60.13 |
| 3044F |
|
446 |
439 |
$50.00 |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
13 |
13 |
$36.82 |
| 81002 |
|
12 |
12 |
$14.69 |
| 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 |
15 |
14 |
$9.90 |
| 96160 |
|
25 |
25 |
$7.16 |
| 36416 |
|
29 |
25 |
$5.50 |
| 3078F |
|
32,413 |
30,405 |
$0.00 |
| 3077F |
|
1,976 |
1,814 |
$0.00 |
| 91300 |
|
119 |
119 |
$0.00 |
| 90662 |
|
447 |
441 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
68 |
64 |
$0.00 |
| 99199 |
Unlisted special service, procedure or report |
27 |
27 |
$0.00 |
| 3075F |
|
2,395 |
2,317 |
$0.00 |
| 3079F |
|
8,599 |
8,261 |
$0.00 |
| 3074F |
|
34,996 |
32,826 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
1,075 |
1,057 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
114 |
113 |
$0.00 |
| 3080F |
|
98 |
96 |
$0.00 |
| Q2036 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) |
91 |
89 |
$0.00 |
| 99384 |
|
13 |
12 |
$0.00 |
| 91301 |
|
14 |
14 |
$0.00 |