| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39,819 |
35,213 |
$2.53M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,932 |
17,371 |
$1.84M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,424 |
2,294 |
$210K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,485 |
2,416 |
$196K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,260 |
2,180 |
$168K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,085 |
1,778 |
$118K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,569 |
2,312 |
$110K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,098 |
1,046 |
$101K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,505 |
986 |
$100K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,322 |
1,262 |
$98K |
| 92551 |
|
2,210 |
2,125 |
$72K |
| 90791 |
Psychiatric diagnostic evaluation |
496 |
481 |
$72K |
| 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 |
2,169 |
1,991 |
$63K |
| 98940 |
|
2,630 |
1,384 |
$47K |
| V2020 |
Frames, purchases |
570 |
562 |
$26K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,994 |
1,541 |
$23K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
1,011 |
447 |
$22K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
880 |
813 |
$21K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
537 |
267 |
$12K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
358 |
287 |
$10K |
| 92015 |
Determination of refractive state |
736 |
696 |
$10K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
42 |
42 |
$8K |
| 99490 |
Ccm add 20min |
858 |
609 |
$7K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
90 |
87 |
$6K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$6K |
| 81003 |
|
731 |
639 |
$6K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
59 |
59 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
208 |
121 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
122 |
122 |
$4K |
| D7140 |
Extraction, erupted tooth or exposed root |
28 |
12 |
$4K |
| 99173 |
|
248 |
243 |
$3K |
| 83655 |
|
219 |
207 |
$3K |
| 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 |
192 |
188 |
$3K |
| 81025 |
|
341 |
319 |
$2K |
| 76830 |
Ultrasound, transvaginal |
16 |
12 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
69 |
58 |
$2K |
| 80305 |
|
143 |
108 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
28 |
26 |
$2K |
| 76801 |
|
13 |
12 |
$2K |
| 82465 |
|
392 |
301 |
$2K |
| 99383 |
|
17 |
17 |
$2K |
| 99384 |
|
19 |
16 |
$1K |
| 85018 |
|
484 |
436 |
$1K |
| 99439 |
|
140 |
104 |
$1K |
| 97810 |
|
69 |
37 |
$1K |
| 99460 |
|
13 |
12 |
$937.44 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$878.16 |
| 36415 |
Collection of venous blood by venipuncture |
617 |
527 |
$524.28 |
| 80061 |
Lipid panel |
30 |
30 |
$390.63 |
| 3074F |
|
3,920 |
2,673 |
$340.00 |
| 3078F |
|
3,394 |
2,254 |
$260.00 |
| 3079F |
|
1,414 |
958 |
$120.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21 |
20 |
$109.29 |
| 3075F |
|
198 |
125 |
$40.00 |
| 3077F |
|
232 |
150 |
$20.00 |
| 3008F |
|
8,617 |
5,790 |
$0.06 |
| 1000F |
|
3,096 |
2,050 |
$0.06 |
| 4004F |
|
154 |
130 |
$0.02 |
| 0513F |
|
44 |
39 |
$0.01 |
| D1999 |
|
77 |
69 |
$0.00 |
| 1160F |
|
202 |
152 |
$0.00 |
| 1159F |
|
202 |
152 |
$0.00 |
| 91320 |
|
12 |
12 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
26 |
25 |
$0.00 |
| 2000F |
|
8,815 |
5,931 |
$0.00 |
| 1126F |
|
381 |
246 |
$0.00 |
| 2001F |
|
7,803 |
5,370 |
$0.00 |
| 3044F |
|
746 |
428 |
$0.00 |
| 1220F |
|
302 |
223 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
146 |
134 |
$0.00 |
| 1125F |
|
75 |
46 |
$0.00 |
| D1330 |
|
14 |
13 |
$0.00 |