| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,730 |
16,762 |
$2.87M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,996 |
10,468 |
$1.73M |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,127 |
2,161 |
$525K |
| D0999 |
Unspecified diagnostic procedure, by report |
2,117 |
1,887 |
$450K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,819 |
1,494 |
$230K |
| 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 |
8,512 |
6,053 |
$211K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,315 |
800 |
$205K |
| H0038 |
Self-help/peer services, per 15 minutes |
1,022 |
781 |
$173K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
3,664 |
2,179 |
$153K |
| 90834 |
Psychotherapy, 45 minutes with patient |
738 |
563 |
$121K |
| 99442 |
|
580 |
485 |
$86K |
| 99443 |
|
380 |
295 |
$61K |
| 0003A |
|
330 |
329 |
$56K |
| 0002A |
|
316 |
316 |
$54K |
| 0012A |
|
303 |
302 |
$52K |
| 0001A |
|
280 |
279 |
$47K |
| 0011A |
|
258 |
258 |
$45K |
| 0013A |
|
174 |
173 |
$30K |
| 0004A |
|
165 |
164 |
$27K |
| 80305 |
|
2,912 |
2,224 |
$23K |
| 99215 |
Prolong outpt/office vis |
156 |
139 |
$22K |
| T1007 |
Alcohol and/or substance abuse services, treatment plan development and/or modification |
86 |
86 |
$14K |
| 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 |
378 |
221 |
$14K |
| 99441 |
|
117 |
106 |
$13K |
| 0124A |
|
103 |
103 |
$13K |
| H0049 |
Alcohol and/or drug screening |
157 |
156 |
$12K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
63 |
41 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,409 |
1,226 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
65 |
63 |
$10K |
| 90791 |
Psychiatric diagnostic evaluation |
53 |
53 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
101 |
90 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
65 |
63 |
$7K |
| 0134A |
|
52 |
52 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
600 |
587 |
$5K |
| 90688 |
|
318 |
305 |
$3K |
| 99000 |
|
467 |
452 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
450 |
443 |
$2K |
| 0072A |
|
12 |
12 |
$2K |
| 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 |
135 |
83 |
$2K |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
15 |
15 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,718 |
1,592 |
$1K |
| 81002 |
|
504 |
476 |
$1K |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
12 |
12 |
$615.56 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
127 |
126 |
$520.11 |
| 97802 |
|
26 |
25 |
$211.27 |
| 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 |
16 |
14 |
$161.05 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
33 |
32 |
$142.61 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
44 |
37 |
$79.27 |
| 90686 |
|
12 |
12 |
$65.39 |
| Q2036 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) |
41 |
38 |
$61.05 |
| 81025 |
|
41 |
40 |
$50.57 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$44.21 |
| G0008 |
Administration of influenza virus vaccine |
34 |
31 |
$29.13 |
| 3008F |
|
1,289 |
1,112 |
$11.58 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
15 |
$0.00 |
| 1220F |
|
219 |
212 |
$0.00 |
| 3351F |
|
211 |
204 |
$0.00 |
| 4010F |
|
15 |
14 |
$0.00 |
| 3078F |
|
28 |
27 |
$0.00 |
| 4001F |
|
144 |
123 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
39 |
37 |
$0.00 |