| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
154,688 |
141,039 |
$7.09M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38,464 |
35,178 |
$2.24M |
| 90832 |
Psychotherapy, 30 minutes with patient |
36,866 |
21,851 |
$1.45M |
| T1015 |
Clinic visit/encounter, all-inclusive |
29,434 |
20,259 |
$822K |
| 90834 |
Psychotherapy, 45 minutes with patient |
10,718 |
5,959 |
$575K |
| H0044 |
Supported housing, per month |
2,309 |
1,712 |
$571K |
| 87428 |
|
7,767 |
7,634 |
$439K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,011 |
4,500 |
$179K |
| T1016 |
Case management, each 15 minutes |
5,394 |
2,984 |
$174K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,391 |
2,337 |
$171K |
| T1017 |
Targeted case management, each 15 minutes |
3,123 |
2,436 |
$171K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,023 |
1,999 |
$159K |
| 90791 |
Psychiatric diagnostic evaluation |
1,504 |
1,421 |
$145K |
| H0038 |
Self-help/peer services, per 15 minutes |
4,840 |
1,898 |
$134K |
| 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 |
4,630 |
4,106 |
$131K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15,295 |
14,590 |
$120K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
6,159 |
4,247 |
$96K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
9,468 |
9,302 |
$92K |
| 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 |
5,595 |
3,244 |
$74K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
797 |
793 |
$70K |
| 99215 |
Prolong outpt/office vis |
822 |
781 |
$67K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
935 |
885 |
$66K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,981 |
1,841 |
$58K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
476 |
455 |
$57K |
| 0012A |
|
1,646 |
1,643 |
$55K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,744 |
3,619 |
$53K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
26 |
26 |
$47K |
| 0002A |
|
1,033 |
1,029 |
$42K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
735 |
733 |
$38K |
| 0011A |
|
1,646 |
1,620 |
$33K |
| 0001A |
|
883 |
880 |
$31K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
393 |
384 |
$31K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,082 |
2,030 |
$31K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,189 |
2,084 |
$25K |
| 92551 |
|
3,472 |
3,426 |
$24K |
| 90837 |
Psychotherapy, 53 minutes with patient |
248 |
141 |
$21K |
| 99442 |
|
644 |
591 |
$21K |
| 0064A |
|
581 |
572 |
$16K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
472 |
246 |
$16K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
250 |
247 |
$16K |
| M0240 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring, subsequent repeat doses |
33 |
33 |
$15K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
291 |
287 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
809 |
464 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
867 |
856 |
$11K |
| 99443 |
|
171 |
151 |
$10K |
| 0072A |
|
225 |
225 |
$9K |
| 0134A |
|
229 |
228 |
$9K |
| 99177 |
|
1,898 |
1,847 |
$8K |
| 81025 |
|
1,591 |
1,536 |
$8K |
| 99407 |
|
371 |
182 |
$7K |
| 0071A |
|
157 |
157 |
$7K |
| 80061 |
Lipid panel |
640 |
628 |
$6K |
| 0124A |
|
153 |
153 |
$6K |
| 0004A |
|
206 |
206 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
135 |
134 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
257 |
246 |
$5K |
| 90480 |
|
138 |
135 |
$5K |
| 92250 |
|
140 |
140 |
$5K |
| G0008 |
Administration of influenza virus vaccine |
178 |
163 |
$4K |
| 81002 |
|
1,130 |
1,118 |
$2K |
| 94010 |
|
99 |
76 |
$2K |
| 99406 |
|
167 |
155 |
$2K |
| 86701 |
|
212 |
212 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
81 |
76 |
$1K |
| 91306 |
|
32 |
32 |
$1K |
| S9441 |
Asthma education, non-physician provider, per session |
30 |
28 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$789.07 |
| 90686 |
|
144 |
143 |
$718.66 |
| 80305 |
|
93 |
82 |
$584.95 |
| 0003A |
|
12 |
12 |
$499.56 |
| 94760 |
|
165 |
157 |
$386.54 |
| 82948 |
|
142 |
138 |
$352.68 |
| 90653 |
|
12 |
12 |
$340.57 |
| 95012 |
|
25 |
15 |
$324.00 |
| 86803 |
|
29 |
29 |
$289.23 |
| 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 |
18 |
18 |
$249.44 |
| 99441 |
|
12 |
12 |
$154.92 |
| 90474 |
|
16 |
14 |
$129.60 |
| 87210 |
|
13 |
13 |
$46.85 |
| 82947 |
|
14 |
14 |
$45.50 |
| 87220 |
|
12 |
12 |
$43.31 |
| 90785 |
|
14 |
13 |
$42.00 |
| 90674 |
|
63 |
63 |
$31.50 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
50 |
44 |
$6.44 |