| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,128 |
21,609 |
$4.44M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,682 |
5,890 |
$1.00M |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,677 |
6,308 |
$550K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,724 |
1,672 |
$317K |
| 90686 |
|
2,255 |
2,134 |
$249K |
| 81003 |
|
1,460 |
1,090 |
$247K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,287 |
1,218 |
$232K |
| 36415 |
Collection of venous blood by venipuncture |
4,765 |
4,168 |
$220K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,217 |
575 |
$212K |
| 36416 |
|
2,052 |
1,807 |
$210K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,790 |
1,532 |
$177K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
976 |
918 |
$170K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
947 |
827 |
$138K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
711 |
694 |
$133K |
| W0037 |
|
12,919 |
12,919 |
$127K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
648 |
628 |
$118K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
708 |
638 |
$116K |
| 85018 |
|
641 |
619 |
$113K |
| 81025 |
|
542 |
512 |
$94K |
| 83655 |
|
504 |
488 |
$90K |
| 80053 |
Comprehensive metabolic panel |
527 |
480 |
$86K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,601 |
3,426 |
$79K |
| 99000 |
|
402 |
360 |
$67K |
| 99188 |
|
541 |
521 |
$65K |
| 90670 |
|
1,694 |
1,610 |
$57K |
| 87807 |
|
227 |
206 |
$39K |
| 90474 |
|
414 |
393 |
$37K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
218 |
200 |
$36K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
193 |
177 |
$29K |
| 90832 |
Psychotherapy, 30 minutes with patient |
159 |
79 |
$28K |
| 99215 |
Prolong outpt/office vis |
181 |
163 |
$27K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
227 |
205 |
$23K |
| 94760 |
|
127 |
109 |
$22K |
| 80305 |
|
119 |
103 |
$19K |
| 99382 |
|
97 |
92 |
$17K |
| 99381 |
|
88 |
78 |
$13K |
| 90710 |
|
635 |
602 |
$13K |
| 90685 |
|
67 |
67 |
$12K |
| 90651 |
|
462 |
444 |
$12K |
| 90696 |
|
124 |
117 |
$6K |
| 90715 |
|
288 |
272 |
$6K |
| Q3014 |
Telehealth originating site facility fee |
191 |
128 |
$5K |
| 80061 |
Lipid panel |
32 |
28 |
$5K |
| 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 |
151 |
99 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
25 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
17 |
14 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
16 |
12 |
$2K |
| 90734 |
|
284 |
269 |
$183.08 |
| 90633 |
|
757 |
734 |
$183.08 |
| 90647 |
|
1,352 |
1,297 |
$183.08 |
| 71046 |
Radiologic examination, chest; 2 views |
18 |
15 |
$65.37 |
| 90681 |
|
426 |
405 |
$0.00 |
| 90661 |
|
245 |
240 |
$0.00 |
| 90700 |
|
66 |
65 |
$0.00 |
| 90707 |
|
28 |
28 |
$0.00 |
| 90723 |
|
1,387 |
1,322 |
$0.00 |
| 90677 |
|
257 |
254 |
$0.00 |
| 90620 |
|
61 |
60 |
$0.00 |
| 90674 |
|
63 |
63 |
$0.00 |
| 90480 |
|
12 |
12 |
$0.00 |
| 90716 |
|
30 |
30 |
$0.00 |
| 91307 |
|
16 |
15 |
$0.00 |