| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,220 |
5,866 |
$101K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,467 |
2,999 |
$61K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
327 |
326 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
810 |
668 |
$10K |
| 99454 |
|
1,920 |
1,897 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
923 |
821 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
75 |
74 |
$6K |
| 99490 |
Ccm add 20min |
3,385 |
3,366 |
$6K |
| 99457 |
|
2,016 |
2,010 |
$6K |
| 99458 |
|
1,437 |
1,433 |
$5K |
| 90832 |
Psychotherapy, 30 minutes with patient |
253 |
173 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
100 |
100 |
$3K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
138 |
97 |
$3K |
| 98940 |
|
224 |
156 |
$2K |
| 92551 |
|
341 |
341 |
$2K |
| 99459 |
|
131 |
125 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
22 |
22 |
$1K |
| 96127 |
|
469 |
250 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
65 |
65 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
103 |
89 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
25 |
$1K |
| 99215 |
Prolong outpt/office vis |
185 |
172 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
32 |
32 |
$1K |
| 20552 |
|
28 |
28 |
$881.83 |
| T1015 |
Clinic visit/encounter, all-inclusive |
16 |
13 |
$715.00 |
| 82947 |
|
412 |
361 |
$647.09 |
| 99173 |
|
291 |
291 |
$631.71 |
| 85018 |
|
494 |
487 |
$606.74 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
18 |
12 |
$465.92 |
| 81003 |
|
448 |
439 |
$425.98 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
154 |
152 |
$410.11 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
26 |
25 |
$228.36 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$224.34 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
196 |
181 |
$214.30 |
| 93000 |
|
16 |
16 |
$212.10 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
52 |
52 |
$192.30 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
43 |
42 |
$185.33 |
| 59425 |
|
27 |
19 |
$181.44 |
| 96160 |
|
53 |
53 |
$131.20 |
| 99439 |
|
507 |
506 |
$84.21 |
| 81025 |
|
31 |
31 |
$74.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
29 |
26 |
$37.37 |
| 82962 |
|
130 |
119 |
$26.97 |
| 99453 |
|
32 |
32 |
$8.10 |
| 36416 |
|
610 |
566 |
$1.15 |
| 3078F |
|
145 |
142 |
$0.00 |
| 0502F |
|
192 |
119 |
$0.00 |
| 3077F |
|
46 |
46 |
$0.00 |
| 1160F |
|
82 |
81 |
$0.00 |
| 1159F |
|
90 |
89 |
$0.00 |
| 83037 |
|
16 |
15 |
$0.00 |
| 1126F |
|
188 |
181 |
$0.00 |
| 1036F |
|
124 |
119 |
$0.00 |
| G2058 |
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). |
462 |
428 |
$0.00 |
| 3074F |
|
145 |
144 |
$0.00 |
| 3075F |
|
23 |
23 |
$0.00 |
| 1125F |
|
83 |
82 |
$0.00 |
| 3079F |
|
80 |
79 |
$0.00 |