| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49,879 |
40,812 |
$7.25M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,910 |
17,434 |
$2.77M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,043 |
7,969 |
$1.46M |
| 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 |
10,347 |
8,050 |
$1.04M |
| X5622 |
|
7,793 |
5,907 |
$898K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,893 |
2,740 |
$578K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,032 |
2,001 |
$474K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,478 |
811 |
$295K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,124 |
1,049 |
$181K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
2,277 |
1,681 |
$88K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,161 |
1,625 |
$43K |
| 99215 |
Prolong outpt/office vis |
190 |
174 |
$40K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
253 |
208 |
$40K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,546 |
1,212 |
$34K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
137 |
126 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,138 |
804 |
$21K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
2,489 |
1,657 |
$19K |
| 96156 |
|
132 |
128 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
59 |
56 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
520 |
427 |
$5K |
| 99201 |
|
24 |
24 |
$5K |
| 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 |
20 |
19 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
335 |
328 |
$5K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
396 |
314 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
15,828 |
13,386 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,539 |
6,228 |
$1K |
| 99188 |
|
3,110 |
2,539 |
$898.72 |
| 96150 |
|
64 |
63 |
$865.24 |
| 82962 |
|
7,829 |
6,857 |
$541.75 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,717 |
8,001 |
$492.51 |
| 91322 |
|
17 |
15 |
$431.92 |
| 90480 |
|
83 |
78 |
$145.60 |
| 90662 |
|
158 |
113 |
$89.46 |
| 90686 |
|
4,434 |
4,042 |
$83.05 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,181 |
1,120 |
$55.00 |
| 0134A |
|
45 |
43 |
$42.10 |
| 0064A |
|
349 |
349 |
$39.79 |
| 85018 |
|
5,813 |
4,781 |
$32.45 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,614 |
2,844 |
$23.70 |
| 81003 |
|
3,705 |
3,224 |
$22.10 |
| 87807 |
|
48 |
46 |
$14.41 |
| 81025 |
|
1,929 |
1,779 |
$9.66 |
| 96127 |
|
7,266 |
5,736 |
$0.00 |
| 92551 |
|
5,639 |
4,302 |
$0.00 |
| 0011A |
|
1,394 |
1,338 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,687 |
4,239 |
$0.00 |
| 90698 |
|
741 |
583 |
$0.00 |
| 0111A |
|
49 |
47 |
$0.00 |
| 36416 |
|
1,320 |
1,149 |
$0.00 |
| 90651 |
|
125 |
102 |
$0.00 |
| 0001A |
|
440 |
426 |
$0.00 |
| 90744 |
|
214 |
171 |
$0.00 |
| 0012A |
|
1,346 |
1,245 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
245 |
206 |
$0.00 |
| 90620 |
|
26 |
18 |
$0.00 |
| 90716 |
|
61 |
28 |
$0.00 |
| 90657 |
|
133 |
90 |
$0.00 |
| 90696 |
|
31 |
12 |
$0.00 |
| 96161 |
|
240 |
188 |
$0.00 |
| 90660 |
|
327 |
311 |
$0.00 |
| 93000 |
|
27 |
25 |
$0.00 |
| 0072A |
|
141 |
140 |
$0.00 |
| 90656 |
|
18 |
18 |
$0.00 |
| 0164A |
|
18 |
16 |
$0.00 |
| 0052A |
|
20 |
20 |
$0.00 |
| 90697 |
|
18 |
15 |
$0.00 |
| 90677 |
|
24 |
20 |
$0.00 |
| 0031A |
|
23 |
23 |
$0.00 |
| 92567 |
|
16 |
12 |
$0.00 |
| 90672 |
|
778 |
553 |
$0.00 |
| 99173 |
|
5,708 |
4,337 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
743 |
707 |
$0.00 |
| 90633 |
|
567 |
435 |
$0.00 |
| 90710 |
|
53 |
25 |
$0.00 |
| 90670 |
|
1,222 |
970 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
661 |
604 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
239 |
224 |
$0.00 |
| 81002 |
|
630 |
565 |
$0.00 |
| 0071A |
|
241 |
239 |
$0.00 |
| 90473 |
|
1,010 |
717 |
$0.00 |
| 0002A |
|
392 |
377 |
$0.00 |
| 90734 |
|
425 |
318 |
$0.00 |
| 90681 |
|
142 |
107 |
$0.00 |
| 80061 |
Lipid panel |
343 |
311 |
$0.00 |
| 90715 |
|
687 |
557 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
159 |
139 |
$0.00 |
| 90658 |
|
979 |
748 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
175 |
146 |
$0.00 |
| 0121A |
|
27 |
27 |
$0.00 |
| 90461 |
|
82 |
77 |
$0.00 |
| 0124A |
|
43 |
42 |
$0.00 |
| 0004A |
|
67 |
65 |
$0.00 |
| 90691 |
|
14 |
13 |
$0.00 |
| 0151A |
|
29 |
29 |
$0.00 |
| 90655 |
|
43 |
23 |
$0.00 |