| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
127,594 |
94,813 |
$5.15M |
| 90837 |
Psychotherapy, 53 minutes with patient |
21,105 |
14,666 |
$1.68M |
| 90832 |
Psychotherapy, 30 minutes with patient |
33,203 |
18,051 |
$1.38M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37,709 |
19,867 |
$1.04M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,889 |
9,894 |
$806K |
| 99441 |
|
13,787 |
5,874 |
$548K |
| 90887 |
|
3,622 |
1,905 |
$226K |
| 99442 |
|
3,343 |
1,636 |
$196K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,121 |
2,412 |
$165K |
| 80305 |
|
16,740 |
9,903 |
$157K |
| H0031 |
Mental health assessment, by non-physician |
2,127 |
1,790 |
$135K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,228 |
1,127 |
$132K |
| 76830 |
Ultrasound, transvaginal |
1,774 |
1,636 |
$109K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
147 |
137 |
$105K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,901 |
1,281 |
$86K |
| H0032 |
Mental health service plan development by non-physician |
1,123 |
984 |
$77K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,287 |
2,484 |
$74K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
9,870 |
5,640 |
$68K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,908 |
4,480 |
$66K |
| 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 |
9,542 |
3,572 |
$64K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,050 |
895 |
$61K |
| 81025 |
|
7,341 |
4,843 |
$52K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,524 |
2,392 |
$47K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
742 |
688 |
$34K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
463 |
400 |
$33K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
367 |
357 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
387 |
382 |
$26K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
713 |
419 |
$26K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
328 |
320 |
$24K |
| 36415 |
Collection of venous blood by venipuncture |
8,003 |
6,751 |
$23K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
359 |
286 |
$19K |
| 99443 |
|
228 |
183 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,744 |
1,099 |
$18K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
196 |
189 |
$16K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
886 |
854 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
177 |
173 |
$12K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
240 |
210 |
$11K |
| 59025 |
Fetal non-stress test |
383 |
232 |
$10K |
| 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 |
951 |
882 |
$10K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
189 |
186 |
$9K |
| 99408 |
|
975 |
888 |
$9K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
207 |
191 |
$7K |
| 92552 |
|
564 |
560 |
$7K |
| 99173 |
|
125 |
124 |
$7K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
1,959 |
1,032 |
$6K |
| 87807 |
|
461 |
427 |
$5K |
| 96127 |
|
1,003 |
922 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
38 |
38 |
$4K |
| 99406 |
|
494 |
434 |
$4K |
| 81003 |
|
7,619 |
4,796 |
$3K |
| 90686 |
|
950 |
921 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
33 |
31 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
40 |
39 |
$2K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,146 |
692 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
63 |
63 |
$2K |
| 54160 |
|
12 |
12 |
$1K |
| 90715 |
|
61 |
59 |
$1K |
| 99384 |
|
13 |
13 |
$1K |
| 99383 |
|
14 |
14 |
$966.43 |
| 82950 |
|
159 |
157 |
$677.96 |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$642.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
118 |
95 |
$613.06 |
| 76857 |
|
12 |
12 |
$517.04 |
| 87428 |
|
13 |
12 |
$455.43 |
| 90658 |
|
42 |
28 |
$361.76 |
| 90651 |
|
52 |
52 |
$253.60 |
| 86580 |
|
51 |
41 |
$182.46 |
| 90716 |
|
12 |
12 |
$150.98 |
| 90688 |
|
19 |
14 |
$134.20 |
| 82951 |
|
13 |
13 |
$131.90 |
| 90734 |
|
86 |
82 |
$117.41 |
| 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 |
35 |
31 |
$94.62 |
| 90707 |
|
12 |
12 |
$87.31 |
| 36416 |
|
12 |
12 |
$37.60 |
| 2014F |
|
1,316 |
1,278 |
$0.00 |
| 90670 |
|
28 |
27 |
$0.00 |
| 90648 |
|
14 |
14 |
$0.00 |
| 3008F |
|
2,042 |
1,975 |
$0.00 |
| 90656 |
|
114 |
114 |
$0.00 |