| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,688 |
15,034 |
$430K |
| H1000 |
Prenatal care, at-risk assessment |
3,880 |
2,971 |
$187K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,443 |
1,609 |
$77K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,385 |
1,853 |
$77K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,068 |
818 |
$59K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
909 |
751 |
$53K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
965 |
764 |
$53K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
850 |
690 |
$49K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
592 |
414 |
$28K |
| 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 |
5,610 |
4,018 |
$28K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,831 |
4,302 |
$26K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,864 |
1,648 |
$16K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,446 |
915 |
$11K |
| 90791 |
Psychiatric diagnostic evaluation |
147 |
126 |
$9K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
520 |
270 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
303 |
286 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
145 |
121 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
147 |
145 |
$5K |
| 90670 |
|
502 |
333 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
271 |
260 |
$4K |
| 99490 |
Ccm add 20min |
235 |
225 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
56 |
52 |
$4K |
| 81025 |
|
1,562 |
1,130 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
390 |
358 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
575 |
382 |
$2K |
| 90686 |
|
2,304 |
1,820 |
$2K |
| 99188 |
|
225 |
198 |
$2K |
| 99385 |
|
37 |
30 |
$2K |
| 87428 |
|
57 |
55 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
471 |
411 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,829 |
2,080 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
169 |
149 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
15 |
14 |
$1K |
| 59430 |
|
29 |
24 |
$961.05 |
| 0012A |
|
34 |
31 |
$800.00 |
| 81002 |
|
1,560 |
1,007 |
$779.07 |
| 98940 |
|
94 |
41 |
$760.62 |
| 99384 |
|
13 |
12 |
$678.13 |
| 0011A |
|
24 |
21 |
$560.00 |
| 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 |
2,056 |
1,415 |
$472.40 |
| 1000F |
|
27,180 |
20,498 |
$446.08 |
| 90734 |
|
201 |
181 |
$346.45 |
| 99441 |
|
46 |
46 |
$336.65 |
| 0071A |
|
35 |
32 |
$320.00 |
| 99462 |
|
13 |
12 |
$283.79 |
| 90474 |
|
53 |
41 |
$274.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
58 |
53 |
$260.00 |
| 0072A |
|
24 |
19 |
$250.00 |
| 90715 |
|
24 |
24 |
$206.95 |
| 86703 |
|
193 |
92 |
$206.57 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
40 |
40 |
$198.72 |
| 11721 |
|
15 |
12 |
$180.30 |
| 85018 |
|
135 |
131 |
$142.57 |
| 92551 |
|
1,983 |
1,478 |
$134.74 |
| 90651 |
|
424 |
310 |
$131.47 |
| 3351F |
|
9,260 |
6,589 |
$121.20 |
| 90461 |
|
484 |
247 |
$89.94 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
41 |
36 |
$81.20 |
| 90674 |
|
56 |
52 |
$64.56 |
| 90723 |
|
418 |
290 |
$61.00 |
| 83026 |
|
84 |
46 |
$45.79 |
| 36415 |
Collection of venous blood by venipuncture |
157 |
131 |
$45.00 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
27 |
25 |
$41.35 |
| 90656 |
|
173 |
171 |
$36.28 |
| 90633 |
|
160 |
138 |
$36.03 |
| 1160F |
|
13,113 |
10,933 |
$26.98 |
| 3044F |
|
790 |
669 |
$20.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
15 |
12 |
$18.85 |
| 90620 |
|
47 |
43 |
$10.00 |
| 3008F |
|
30,140 |
23,035 |
$4.21 |
| 82947 |
|
14 |
13 |
$2.27 |
| 1159F |
|
13,287 |
10,496 |
$1.31 |
| 3074F |
|
21,017 |
16,628 |
$0.02 |
| 3078F |
|
18,349 |
13,845 |
$0.02 |
| 2001F |
|
26,402 |
21,314 |
$0.00 |
| 1126F |
|
6,335 |
5,229 |
$0.00 |
| 1036F |
|
9,041 |
6,191 |
$0.00 |
| 1220F |
|
9,208 |
7,537 |
$0.00 |
| 2000F |
|
17,698 |
14,135 |
$0.00 |
| 1030F |
|
2,016 |
1,567 |
$0.00 |
| 3075F |
|
1,310 |
1,028 |
$0.00 |
| 3014F |
|
74 |
66 |
$0.00 |
| 3079F |
|
4,090 |
2,998 |
$0.00 |
| 90647 |
|
306 |
227 |
$0.00 |
| 4037F |
|
1,214 |
903 |
$0.00 |
| 90677 |
|
188 |
169 |
$0.00 |
| 3017F |
|
129 |
95 |
$0.00 |
| 0513F |
|
120 |
115 |
$0.00 |
| 3080F |
|
346 |
263 |
$0.00 |
| 1034F |
|
793 |
551 |
$0.00 |
| 1125F |
|
1,407 |
1,043 |
$0.00 |
| 96127 |
|
454 |
411 |
$0.00 |
| 1157F |
|
384 |
155 |
$0.00 |
| 3352F |
|
14 |
14 |
$0.00 |
| 1111F |
|
57 |
50 |
$0.00 |
| 4000F |
|
29 |
26 |
$0.00 |
| 4010F |
|
136 |
80 |
$0.00 |
| 1170F |
|
33 |
32 |
$0.00 |
| 1101F |
|
177 |
163 |
$0.00 |
| 4293F |
|
28 |
24 |
$0.00 |
| 3049F |
|
16 |
14 |
$0.00 |
| 3048F |
|
45 |
39 |
$0.00 |
| 90681 |
|
90 |
78 |
$0.00 |
| 1158F |
|
1,492 |
764 |
$0.00 |
| 4035F |
|
1,942 |
1,505 |
$0.00 |
| 0502F |
|
512 |
429 |
$0.00 |
| 99173 |
|
2,162 |
1,631 |
$0.00 |
| 3210F |
|
213 |
169 |
$0.00 |
| 4158F |
|
441 |
243 |
$0.00 |
| 4004F |
|
196 |
124 |
$0.00 |
| 3015F |
|
304 |
153 |
$0.00 |
| 2028F |
|
195 |
151 |
$0.00 |
| 1033F |
|
696 |
563 |
$0.00 |
| 3077F |
|
759 |
573 |
$0.00 |
| 3046F |
|
34 |
30 |
$0.00 |
| 98960 |
|
90 |
69 |
$0.00 |
| 3725F |
|
35 |
32 |
$0.00 |
| 1039F |
|
12 |
12 |
$0.00 |
| 3050F |
|
15 |
15 |
$0.00 |