| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
62,673 |
48,344 |
$2.12M |
| 76830 |
Ultrasound, transvaginal |
5,476 |
5,051 |
$289K |
| 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 |
17,747 |
7,631 |
$207K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
316 |
280 |
$175K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,732 |
2,863 |
$174K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,666 |
2,487 |
$166K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
347 |
324 |
$115K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,664 |
1,538 |
$113K |
| 99233 |
Prolong inpt eval add15 m |
3,041 |
1,161 |
$113K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,060 |
1,755 |
$91K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,692 |
1,607 |
$90K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,127 |
1,054 |
$86K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,540 |
1,413 |
$80K |
| 99223 |
Prolong inpt eval add15 m |
1,049 |
943 |
$75K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,097 |
3,402 |
$58K |
| 36415 |
Collection of venous blood by venipuncture |
14,750 |
12,796 |
$52K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
742 |
720 |
$46K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
960 |
876 |
$43K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
997 |
911 |
$41K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,308 |
790 |
$40K |
| 81025 |
|
5,899 |
5,466 |
$38K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,591 |
1,461 |
$38K |
| 90837 |
Psychotherapy, 53 minutes with patient |
518 |
277 |
$36K |
| 59025 |
Fetal non-stress test |
1,519 |
802 |
$34K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
444 |
432 |
$32K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,915 |
961 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,646 |
1,562 |
$22K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
562 |
525 |
$22K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,927 |
1,886 |
$19K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
538 |
522 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
279 |
268 |
$18K |
| 90461 |
|
853 |
841 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
429 |
422 |
$10K |
| 81001 |
|
5,025 |
3,277 |
$6K |
| 99220 |
|
74 |
70 |
$6K |
| 90834 |
Psychotherapy, 45 minutes with patient |
123 |
89 |
$6K |
| 81003 |
|
12,597 |
8,491 |
$5K |
| 82950 |
|
1,185 |
1,140 |
$5K |
| 99386 |
|
72 |
60 |
$5K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
54 |
52 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
83 |
80 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
638 |
602 |
$4K |
| 87420 |
|
285 |
271 |
$3K |
| 90715 |
|
93 |
88 |
$2K |
| 99385 |
|
47 |
32 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
55 |
39 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
287 |
213 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
159 |
148 |
$2K |
| 99217 |
|
42 |
37 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
275 |
252 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
925 |
675 |
$1K |
| 99173 |
|
31 |
30 |
$770.00 |
| 99219 |
|
16 |
12 |
$724.43 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$707.28 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
54 |
54 |
$517.40 |
| 90674 |
|
19 |
17 |
$336.21 |
| 4004F |
|
11,010 |
8,691 |
$111.99 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
13 |
$104.20 |
| 90686 |
|
160 |
160 |
$89.53 |
| 99177 |
|
41 |
39 |
$84.63 |
| 92558 |
|
16 |
15 |
$75.79 |
| 36416 |
|
70 |
64 |
$74.36 |
| 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 |
27 |
25 |
$64.56 |
| 85018 |
|
43 |
39 |
$54.04 |
| 90633 |
|
27 |
27 |
$18.41 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12,224 |
11,428 |
$11.64 |
| 1036F |
|
4,163 |
3,699 |
$0.60 |
| 3044F |
|
56 |
53 |
$0.27 |
| 90648 |
|
135 |
135 |
$0.14 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
283 |
263 |
$0.13 |
| 90670 |
|
175 |
175 |
$0.12 |
| 90677 |
|
24 |
24 |
$0.04 |
| 90723 |
|
43 |
43 |
$0.03 |
| 90680 |
|
12 |
12 |
$0.01 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,211 |
2,044 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
354 |
309 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
173 |
145 |
$0.00 |