| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
98,155 |
83,148 |
$3.07M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,706 |
14,600 |
$721K |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,839 |
2,389 |
$269K |
| 87428 |
|
7,954 |
7,107 |
$257K |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,732 |
3,597 |
$174K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,115 |
2,076 |
$119K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,034 |
1,982 |
$111K |
| 90791 |
Psychiatric diagnostic evaluation |
1,206 |
1,120 |
$102K |
| 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 |
11,251 |
4,364 |
$95K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,508 |
1,457 |
$94K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,689 |
1,375 |
$83K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,129 |
5,952 |
$83K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,381 |
1,266 |
$73K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,381 |
1,289 |
$68K |
| 90461 |
|
3,877 |
3,530 |
$61K |
| 36415 |
Collection of venous blood by venipuncture |
13,203 |
11,684 |
$48K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,057 |
3,476 |
$47K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,493 |
1,367 |
$37K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,772 |
1,565 |
$32K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
682 |
635 |
$27K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,971 |
1,754 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,454 |
1,401 |
$18K |
| 90633 |
|
2,115 |
2,042 |
$13K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
278 |
260 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
189 |
170 |
$11K |
| 83037 |
|
1,274 |
1,177 |
$8K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
451 |
393 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
48 |
45 |
$4K |
| 90686 |
|
1,514 |
1,482 |
$4K |
| 90671 |
|
73 |
73 |
$4K |
| 99383 |
|
56 |
53 |
$3K |
| 0012A |
|
103 |
99 |
$3K |
| 99385 |
|
41 |
38 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
134 |
119 |
$2K |
| 99406 |
|
313 |
265 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
28 |
26 |
$2K |
| 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 |
147 |
147 |
$2K |
| 90651 |
|
1,217 |
1,189 |
$2K |
| 0011A |
|
105 |
103 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
121 |
117 |
$989.08 |
| 81002 |
|
1,317 |
1,163 |
$706.75 |
| 90734 |
|
596 |
575 |
$645.76 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
21 |
13 |
$584.70 |
| 90756 |
|
38 |
35 |
$562.79 |
| 90723 |
|
603 |
587 |
$512.72 |
| 90670 |
|
1,017 |
995 |
$415.44 |
| 87807 |
|
30 |
28 |
$331.17 |
| 90710 |
|
162 |
161 |
$315.28 |
| 90674 |
|
19 |
17 |
$281.75 |
| 90620 |
|
84 |
82 |
$245.91 |
| 90688 |
|
36 |
36 |
$226.38 |
| 90785 |
|
291 |
266 |
$163.79 |
| 81000 |
|
65 |
58 |
$127.23 |
| 90685 |
|
12 |
12 |
$125.10 |
| 90715 |
|
364 |
353 |
$91.37 |
| 90696 |
|
69 |
67 |
$84.00 |
| 90621 |
|
15 |
14 |
$71.81 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
72 |
70 |
$71.76 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
34 |
33 |
$63.05 |
| 90648 |
|
1,080 |
1,045 |
$45.88 |
| 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 |
14 |
12 |
$23.31 |
| 36416 |
|
23 |
16 |
$4.90 |
| 90681 |
|
12 |
12 |
$0.00 |
| 90672 |
|
19 |
15 |
$0.00 |
| 1125F |
|
4,456 |
3,980 |
$0.00 |
| 1126F |
|
5,917 |
5,351 |
$0.00 |
| 90680 |
|
147 |
147 |
$0.00 |
| 90619 |
|
310 |
304 |
$0.00 |