| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,720 |
11,691 |
$297K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,387 |
6,795 |
$207K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,058 |
779 |
$47K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,400 |
1,250 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,045 |
673 |
$33K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,075 |
989 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
244 |
208 |
$12K |
| 90837 |
Psychotherapy, 53 minutes with patient |
137 |
108 |
$12K |
| 90670 |
|
636 |
306 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
795 |
729 |
$8K |
| 87428 |
|
578 |
380 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,092 |
2,291 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,854 |
1,309 |
$6K |
| 99188 |
|
1,407 |
1,022 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
561 |
550 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
127 |
110 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
49 |
49 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
76 |
64 |
$3K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
950 |
602 |
$3K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
45 |
41 |
$3K |
| 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 |
4,225 |
3,115 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
47 |
41 |
$2K |
| 99490 |
Ccm add 20min |
32 |
30 |
$787.80 |
| 99383 |
|
12 |
12 |
$736.56 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
115 |
105 |
$601.95 |
| 90686 |
|
623 |
432 |
$589.92 |
| 90677 |
|
44 |
39 |
$586.70 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
112 |
83 |
$584.53 |
| 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 |
226 |
150 |
$537.59 |
| 99442 |
|
62 |
48 |
$444.82 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
103 |
73 |
$373.55 |
| 83655 |
|
122 |
103 |
$283.23 |
| H0049 |
Alcohol and/or drug screening |
15 |
15 |
$124.04 |
| 85018 |
|
205 |
167 |
$100.92 |
| 90656 |
|
166 |
165 |
$99.40 |
| 90707 |
|
131 |
88 |
$76.56 |
| 36415 |
Collection of venous blood by venipuncture |
453 |
417 |
$75.00 |
| 82962 |
|
101 |
88 |
$68.96 |
| 3074F |
|
5,723 |
4,956 |
$50.04 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
14 |
$44.98 |
| 90461 |
|
27 |
27 |
$44.00 |
| 87807 |
|
14 |
13 |
$38.12 |
| G0008 |
Administration of influenza virus vaccine |
92 |
81 |
$34.16 |
| 96160 |
|
3,452 |
2,428 |
$31.59 |
| 3008F |
|
10,871 |
8,770 |
$31.21 |
| 90633 |
|
140 |
104 |
$8.32 |
| 90473 |
|
132 |
50 |
$8.00 |
| 1160F |
|
4,485 |
3,683 |
$0.02 |
| 1159F |
|
4,423 |
3,634 |
$0.02 |
| 1125F |
|
522 |
453 |
$0.00 |
| 1126F |
|
3,362 |
2,977 |
$0.00 |
| 1036F |
|
2,295 |
1,920 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
399 |
349 |
$0.00 |
| 92551 |
|
1,069 |
882 |
$0.00 |
| 96127 |
|
610 |
529 |
$0.00 |
| 90680 |
|
323 |
158 |
$0.00 |
| 36416 |
|
65 |
64 |
$0.00 |
| 3079F |
|
758 |
625 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
167 |
142 |
$0.00 |
| 99000 |
|
1,042 |
940 |
$0.00 |
| 3075F |
|
140 |
129 |
$0.00 |
| 90697 |
|
44 |
24 |
$0.00 |
| 1111F |
|
151 |
97 |
$0.00 |
| 1034F |
|
146 |
110 |
$0.00 |
| 3080F |
|
74 |
57 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
179 |
151 |
$0.00 |
| 3078F |
|
5,103 |
4,135 |
$0.00 |
| 3725F |
|
399 |
325 |
$0.00 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
441 |
387 |
$0.00 |
| 99173 |
|
954 |
788 |
$0.00 |
| 99177 |
|
625 |
473 |
$0.00 |
| 3077F |
|
321 |
267 |
$0.00 |
| 99072 |
|
892 |
805 |
$0.00 |
| 99408 |
|
115 |
110 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
31 |
30 |
$0.00 |