| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,377 |
31,915 |
$2.77M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,353 |
8,779 |
$1.19M |
| 90834 |
Psychotherapy, 45 minutes with patient |
6,182 |
4,212 |
$461K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,582 |
4,411 |
$379K |
| 92551 |
|
8,136 |
7,965 |
$328K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,878 |
3,848 |
$315K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,770 |
2,751 |
$214K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,349 |
1,322 |
$144K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,645 |
1,632 |
$124K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,871 |
1,782 |
$98K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,694 |
1,613 |
$71K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
355 |
345 |
$52K |
| 81002 |
|
10,442 |
8,392 |
$49K |
| 90791 |
Psychiatric diagnostic evaluation |
327 |
289 |
$47K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
323 |
313 |
$39K |
| 81025 |
|
4,005 |
3,836 |
$39K |
| 81003 |
|
4,219 |
3,217 |
$35K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
379 |
371 |
$31K |
| 99381 |
|
347 |
339 |
$29K |
| 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 |
726 |
696 |
$21K |
| 59430 |
|
152 |
152 |
$21K |
| 82962 |
|
1,368 |
1,297 |
$19K |
| 76801 |
|
121 |
112 |
$14K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
203 |
201 |
$13K |
| 99188 |
|
652 |
641 |
$10K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
56 |
55 |
$10K |
| 99205 |
Prolong outpt/office vis |
50 |
50 |
$9K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
67 |
60 |
$9K |
| 90837 |
Psychotherapy, 53 minutes with patient |
94 |
53 |
$9K |
| 88720 |
|
217 |
166 |
$5K |
| 99173 |
|
556 |
507 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
73 |
73 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
128 |
127 |
$5K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
54 |
53 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
62 |
42 |
$3K |
| 99215 |
Prolong outpt/office vis |
16 |
16 |
$3K |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
27 |
27 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
83 |
51 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
59 |
28 |
$969.39 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
63 |
62 |
$950.52 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$910.80 |
| 90832 |
Psychotherapy, 30 minutes with patient |
13 |
12 |
$790.08 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
47 |
47 |
$663.32 |
| 90480 |
|
56 |
34 |
$656.00 |
| 0011A |
|
39 |
35 |
$482.98 |
| D1206 |
Topical application of fluoride varnish |
15 |
12 |
$386.40 |
| 86701 |
|
14 |
14 |
$346.68 |
| 0002A |
|
14 |
12 |
$287.21 |
| G9919 |
Screening performed and positive and provision of recommendations |
166 |
149 |
$0.00 |
| G9920 |
Screening performed and negative |
678 |
653 |
$0.00 |
| 90671 |
|
48 |
39 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$0.00 |