| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
53,841 |
45,697 |
$12.83M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,279 |
17,093 |
$5.16M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,861 |
3,459 |
$997K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,849 |
2,615 |
$718K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,747 |
1,611 |
$481K |
| 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 |
6,399 |
5,241 |
$366K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,946 |
1,658 |
$319K |
| 90832 |
Psychotherapy, 30 minutes with patient |
985 |
696 |
$197K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
465 |
434 |
$138K |
| 90837 |
Psychotherapy, 53 minutes with patient |
368 |
196 |
$123K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
348 |
321 |
$78K |
| 90834 |
Psychotherapy, 45 minutes with patient |
319 |
227 |
$75K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
190 |
165 |
$54K |
| 97803 |
|
119 |
108 |
$31K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
101 |
95 |
$26K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
137 |
136 |
$23K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,425 |
8,263 |
$18K |
| 81025 |
|
877 |
815 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,099 |
941 |
$7K |
| 97802 |
|
28 |
26 |
$7K |
| 99215 |
Prolong outpt/office vis |
17 |
15 |
$3K |
| 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 |
31 |
24 |
$3K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
58 |
53 |
$3K |
| 81002 |
|
8,979 |
6,949 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
14 |
14 |
$2K |
| 82962 |
|
3,498 |
3,045 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,002 |
2,769 |
$2K |
| 90670 |
|
1,773 |
1,695 |
$2K |
| 1000F |
|
4,844 |
4,206 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
35 |
30 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,404 |
1,318 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,991 |
5,490 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,322 |
1,242 |
$921.34 |
| 3008F |
|
5,245 |
4,548 |
$819.91 |
| 2001F |
|
8,228 |
7,022 |
$819.90 |
| 90461 |
|
3,125 |
2,780 |
$615.97 |
| 92551 |
|
4,687 |
4,320 |
$541.20 |
| 99177 |
|
2,416 |
2,173 |
$288.74 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
381 |
340 |
$120.47 |
| 83026 |
|
1,094 |
1,011 |
$46.44 |
| 99173 |
|
4,570 |
4,248 |
$31.32 |
| 86580 |
|
82 |
74 |
$13.36 |
| 81000 |
|
4,171 |
3,327 |
$13.13 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
14 |
$1.96 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
155 |
141 |
$0.72 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
307 |
253 |
$0.39 |
| J7609 |
Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg |
438 |
402 |
$0.19 |
| 1111F |
|
28 |
24 |
$0.00 |
| 90686 |
|
1,182 |
1,072 |
$0.00 |
| 1126F |
|
546 |
511 |
$0.00 |
| 3079F |
|
778 |
710 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
159 |
149 |
$0.00 |
| 3044F |
|
349 |
295 |
$0.00 |
| 3074F |
|
5,178 |
4,560 |
$0.00 |
| 2000F |
|
6,826 |
5,878 |
$0.00 |
| 90656 |
|
1,859 |
1,704 |
$0.00 |
| 36416 |
|
150 |
118 |
$0.00 |
| 1220F |
|
2,630 |
2,338 |
$0.00 |
| 4000F |
|
347 |
320 |
$0.00 |
| 90698 |
|
438 |
426 |
$0.00 |
| 1036F |
|
161 |
142 |
$0.00 |
| 90744 |
|
92 |
92 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
27 |
27 |
$0.00 |
| 3075F |
|
303 |
278 |
$0.00 |
| 90480 |
|
47 |
40 |
$0.00 |
| 3080F |
|
181 |
164 |
$0.00 |
| 1125F |
|
17 |
12 |
$0.00 |
| 90688 |
|
14 |
14 |
$0.00 |
| 90677 |
|
179 |
152 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
12 |
$0.00 |
| 90716 |
|
25 |
24 |
$0.00 |
| H0033 |
Oral medication administration, direct observation |
16 |
15 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
52 |
43 |
$0.00 |
| 90620 |
|
15 |
13 |
$0.00 |
| 96127 |
|
20 |
20 |
$0.00 |
| 87807 |
|
14 |
13 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90723 |
|
47 |
47 |
$0.00 |
| 0134A |
|
13 |
12 |
$0.00 |
| 3078F |
|
4,663 |
4,065 |
$0.00 |
| 1159F |
|
2,634 |
2,298 |
$0.00 |
| 1160F |
|
2,631 |
2,295 |
$0.00 |
| 90648 |
|
138 |
131 |
$0.00 |
| 90655 |
|
161 |
158 |
$0.00 |
| 90633 |
|
444 |
417 |
$0.00 |
| 3077F |
|
403 |
344 |
$0.00 |
| 99442 |
|
72 |
61 |
$0.00 |
| 90681 |
|
215 |
211 |
$0.00 |
| 91313 |
|
13 |
12 |
$0.00 |
| 90715 |
|
119 |
106 |
$0.00 |
| 90710 |
|
45 |
41 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
199 |
183 |
$0.00 |
| 2028F |
|
137 |
111 |
$0.00 |
| 99188 |
|
75 |
67 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
57 |
46 |
$0.00 |
| 3046F |
|
40 |
27 |
$0.00 |
| 83655 |
|
12 |
12 |
$0.00 |
| 90473 |
|
129 |
127 |
$0.00 |
| 90649 |
|
40 |
38 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$0.00 |
| 3210F |
|
17 |
14 |
$0.00 |