| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,475 |
5,078 |
$692K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,729 |
3,554 |
$412K |
| T1015 |
Clinic visit/encounter, all-inclusive |
7,193 |
5,462 |
$398K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,440 |
1,395 |
$123K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
887 |
745 |
$102K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
703 |
691 |
$86K |
| 99215 |
Prolong outpt/office vis |
587 |
563 |
$68K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
458 |
445 |
$58K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
469 |
459 |
$57K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,719 |
1,666 |
$52K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
369 |
357 |
$47K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
209 |
200 |
$24K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
135 |
134 |
$15K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
111 |
97 |
$10K |
| 85018 |
|
2,098 |
2,045 |
$7K |
| 81003 |
|
2,416 |
2,277 |
$6K |
| 90837 |
Psychotherapy, 53 minutes with patient |
27 |
25 |
$4K |
| 81025 |
|
1,017 |
985 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
24 |
24 |
$3K |
| 90686 |
|
517 |
490 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
495 |
484 |
$2K |
| 97802 |
|
79 |
76 |
$2K |
| 0071A |
|
53 |
50 |
$2K |
| 90651 |
|
44 |
40 |
$2K |
| G9153 |
Mapcp demonstration - physician incentive pool |
70 |
70 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
25 |
24 |
$1K |
| 90461 |
|
273 |
266 |
$820.78 |
| 87428 |
|
13 |
12 |
$768.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
151 |
131 |
$645.89 |
| 99406 |
|
136 |
124 |
$630.12 |
| 99401 |
|
35 |
34 |
$629.70 |
| 82947 |
|
127 |
115 |
$394.70 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
124 |
119 |
$361.89 |
| 97803 |
|
21 |
20 |
$269.53 |
| 0011A |
|
13 |
13 |
$267.76 |
| 36415 |
Collection of venous blood by venipuncture |
100 |
92 |
$148.47 |
| 90633 |
|
93 |
91 |
$128.04 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
130 |
118 |
$102.92 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
29 |
28 |
$67.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
62 |
58 |
$59.58 |
| 87807 |
|
13 |
12 |
$41.55 |
| 87430 |
|
13 |
13 |
$20.98 |
| 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 |
1,053 |
1,012 |
$15.85 |
| 99174 |
|
479 |
456 |
$5.24 |
| 3078F |
|
243 |
196 |
$0.03 |
| 0513F |
|
15 |
12 |
$0.02 |
| 1159F |
|
346 |
290 |
$0.00 |
| 1160F |
|
224 |
181 |
$0.00 |
| 99173 |
|
94 |
93 |
$0.00 |
| 3077F |
|
17 |
13 |
$0.00 |
| 1033F |
|
15 |
13 |
$0.00 |
| 36416 |
|
968 |
922 |
$0.00 |
| 3079F |
|
67 |
58 |
$0.00 |
| 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 |
391 |
335 |
$0.00 |
| 3074F |
|
76 |
67 |
$0.00 |
| 4450F |
|
13 |
13 |
$0.00 |