| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
115,054 |
104,820 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,470 |
24,127 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,223 |
3,214 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,112 |
4,106 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
39,215 |
35,085 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,614 |
2,611 |
$3K |
| 92552 |
|
1,881 |
1,879 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27,289 |
26,830 |
$2K |
| 90756 |
|
261 |
261 |
$2K |
| J3490 |
Unclassified drugs |
364 |
352 |
$1K |
| 85018 |
|
9,450 |
9,400 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
622 |
520 |
$1K |
| 96160 |
|
12,610 |
12,170 |
$1K |
| 90686 |
|
9,443 |
9,430 |
$900.00 |
| G9920 |
Screening performed and negative |
2,517 |
2,479 |
$640.99 |
| 90791 |
Psychiatric diagnostic evaluation |
232 |
229 |
$640.40 |
| 99201 |
|
354 |
257 |
$612.09 |
| 11721 |
|
482 |
481 |
$596.32 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
373 |
373 |
$572.14 |
| 90832 |
Psychotherapy, 30 minutes with patient |
200 |
180 |
$528.70 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,926 |
1,880 |
$388.80 |
| 90651 |
|
1,268 |
1,268 |
$321.00 |
| 92015 |
Determination of refractive state |
417 |
417 |
$293.49 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
380 |
375 |
$290.01 |
| 90674 |
|
1,491 |
1,491 |
$280.10 |
| 90734 |
|
677 |
677 |
$207.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
30 |
29 |
$196.04 |
| 3074F |
|
85,011 |
74,076 |
$195.24 |
| 92551 |
|
1,622 |
1,619 |
$143.26 |
| 3078F |
|
89,235 |
78,130 |
$128.08 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
69 |
69 |
$89.61 |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
12 |
12 |
$75.00 |
| 90633 |
|
271 |
271 |
$63.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
901 |
893 |
$56.63 |
| 90715 |
|
502 |
502 |
$54.00 |
| 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 |
875 |
778 |
$53.70 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
226 |
226 |
$48.72 |
| 90670 |
|
761 |
756 |
$36.00 |
| 87510 |
|
154 |
153 |
$20.05 |
| 87480 |
|
159 |
158 |
$20.05 |
| 87660 |
|
154 |
153 |
$20.05 |
| 11720 |
|
91 |
91 |
$19.53 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
182 |
162 |
$12.63 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
585 |
579 |
$11.40 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
585 |
579 |
$11.40 |
| 90619 |
|
94 |
94 |
$9.00 |
| 99401 |
|
552 |
507 |
$8.41 |
| 82947 |
|
14,360 |
13,519 |
$6.54 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
249 |
227 |
$0.12 |
| 3075F |
|
8,238 |
8,068 |
$0.00 |
| 3079F |
|
11,435 |
11,038 |
$0.00 |
| 1170F |
|
40,934 |
38,239 |
$0.00 |
| 83735 |
|
136 |
136 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
8,784 |
8,549 |
$0.00 |
| 90688 |
|
88 |
88 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
4,588 |
4,577 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,838 |
1,885 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,094 |
1,093 |
$0.00 |
| 3044F |
|
2,646 |
2,641 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,965 |
2,955 |
$0.00 |
| 86592 |
|
372 |
371 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,567 |
5,557 |
$0.00 |
| 90677 |
|
59 |
58 |
$0.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
223 |
192 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,908 |
1,905 |
$0.00 |
| 90656 |
|
932 |
931 |
$0.00 |
| 86706 |
|
129 |
129 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
95 |
93 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
536 |
535 |
$0.00 |
| 3080F |
|
333 |
321 |
$0.00 |
| 91306 |
|
13 |
13 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
257 |
243 |
$0.00 |
| 82728 |
|
66 |
66 |
$0.00 |
| 1111F |
|
171 |
170 |
$0.00 |
| 83550 |
|
34 |
34 |
$0.00 |
| 86704 |
|
64 |
64 |
$0.00 |
| H2000 |
Comprehensive multidisciplinary evaluation |
30 |
28 |
$0.00 |
| 90620 |
|
100 |
99 |
$0.00 |
| 96127 |
|
219 |
217 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
81 |
79 |
$0.00 |
| 82043 |
|
349 |
348 |
$0.00 |
| 99606 |
|
31 |
31 |
$0.00 |
| 99441 |
|
30 |
28 |
$0.00 |
| 84436 |
|
223 |
222 |
$0.00 |
| 90698 |
|
26 |
26 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
113 |
113 |
$0.00 |
| 81001 |
|
568 |
563 |
$0.00 |
| 84153 |
|
142 |
142 |
$0.00 |
| 90647 |
|
174 |
173 |
$0.00 |
| 99403 |
|
96 |
95 |
$0.00 |
| 59430 |
|
73 |
63 |
$0.00 |
| 96156 |
|
724 |
676 |
$0.00 |
| 90739 |
|
261 |
260 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
53 |
53 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
254 |
250 |
$0.00 |
| 87070 |
|
48 |
48 |
$0.00 |
| 86803 |
|
90 |
90 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
74 |
72 |
$0.00 |
| 97802 |
|
68 |
59 |
$0.00 |
| 90697 |
|
13 |
13 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
37 |
37 |
$0.00 |
| 0064A |
|
14 |
14 |
$0.00 |
| 3052F |
|
64 |
64 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
45 |
45 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
16 |
15 |
$0.00 |
| 87340 |
|
81 |
81 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
12 |
12 |
$0.00 |
| 84479 |
|
223 |
222 |
$0.00 |
| 90680 |
|
51 |
50 |
$0.00 |
| 88142 |
|
15 |
15 |
$0.00 |
| 88174 |
|
82 |
82 |
$0.00 |
| 86317 |
|
45 |
45 |
$0.00 |
| 85652 |
|
13 |
13 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
16 |
13 |
$0.00 |
| 85027 |
|
188 |
186 |
$0.00 |
| A9150 |
Non-prescription drugs |
51 |
51 |
$0.00 |
| 36416 |
|
14 |
14 |
$0.00 |
| 87081 |
|
27 |
27 |
$0.00 |
| 90723 |
|
25 |
25 |
$0.00 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
13 |
13 |
$0.00 |
| 86580 |
|
12 |
12 |
$0.00 |
| 99386 |
|
13 |
13 |
$0.00 |
| 90716 |
|
15 |
15 |
$0.00 |
| 82670 |
|
12 |
12 |
$0.00 |
| 99173 |
|
3,638 |
3,631 |
$0.00 |
| 1160F |
|
98,953 |
85,367 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
8,370 |
8,291 |
$0.00 |
| 80061 |
Lipid panel |
4,116 |
4,113 |
$0.00 |
| 3051F |
|
356 |
356 |
$0.00 |
| 3077F |
|
6,343 |
6,066 |
$0.00 |
| 1159F |
|
100,716 |
86,439 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
649 |
639 |
$0.00 |
| 90746 |
|
233 |
232 |
$0.00 |
| 84520 |
|
110 |
110 |
$0.00 |
| 81002 |
|
4,512 |
3,165 |
$0.00 |
| 83655 |
|
657 |
652 |
$0.00 |
| 82570 |
|
353 |
352 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
96 |
92 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
77 |
77 |
$0.00 |
| 83721 |
|
433 |
426 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
113 |
113 |
$0.00 |
| 90736 |
|
40 |
40 |
$0.00 |
| 1158F |
|
507 |
431 |
$0.00 |
| 81003 |
|
314 |
314 |
$0.00 |
| 90648 |
|
74 |
74 |
$0.00 |
| 80076 |
|
226 |
226 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
417 |
417 |
$0.00 |
| 90621 |
|
55 |
55 |
$0.00 |
| 81025 |
|
91 |
90 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
237 |
236 |
$0.00 |
| 80074 |
|
14 |
14 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 97803 |
|
122 |
112 |
$0.00 |
| 82274 |
|
74 |
74 |
$0.00 |
| 3046F |
|
186 |
186 |
$0.00 |
| V2020 |
Frames, purchases |
67 |
67 |
$0.00 |
| 99408 |
|
19 |
19 |
$0.00 |
| 82565 |
|
110 |
110 |
$0.00 |
| 90685 |
|
24 |
24 |
$0.00 |
| 90710 |
|
19 |
19 |
$0.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
12 |
12 |
$0.00 |
| G0247 |
Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superficial to muscle and fascia) and at least the following if present: (1) local care of superficial wounds, (2) debridement of corns and calluses, and (3) trimming and debridement of nails |
15 |
15 |
$0.00 |
| 93015 |
|
12 |
12 |
$0.00 |
| 81513 |
|
29 |
29 |
$0.00 |
| 86038 |
|
13 |
13 |
$0.00 |
| 83540 |
|
34 |
34 |
$0.00 |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
42 |
40 |
$0.00 |
| 11056 |
|
12 |
12 |
$0.00 |
| H1000 |
Prenatal care, at-risk assessment |
28 |
28 |
$0.00 |
| 84439 |
|
38 |
38 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
43 |
40 |
$0.00 |
| 84702 |
|
21 |
17 |
$0.00 |
| 90750 |
|
54 |
54 |
$0.00 |
| 83013 |
|
16 |
16 |
$0.00 |
| 86480 |
|
16 |
16 |
$0.00 |
| 84550 |
|
14 |
14 |
$0.00 |