| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,496 |
11,684 |
$416K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,319 |
2,669 |
$117K |
| 90837 |
Psychotherapy, 53 minutes with patient |
698 |
492 |
$44K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
514 |
477 |
$24K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,241 |
991 |
$12K |
| 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 |
625 |
501 |
$12K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,415 |
1,954 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
772 |
694 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
291 |
220 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
110 |
94 |
$6K |
| 90791 |
Psychiatric diagnostic evaluation |
72 |
68 |
$6K |
| D0330 |
Panoramic radiographic image |
110 |
103 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
3,988 |
3,341 |
$4K |
| 90686 |
|
609 |
491 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
343 |
274 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
358 |
344 |
$3K |
| 80053 |
Comprehensive metabolic panel |
1,015 |
794 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
122 |
116 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
88 |
73 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
46 |
44 |
$1K |
| 80061 |
Lipid panel |
314 |
266 |
$1K |
| 96127 |
|
321 |
261 |
$1K |
| D1110 |
Prophylaxis - adult |
27 |
25 |
$949.43 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
17 |
13 |
$846.17 |
| 99406 |
|
101 |
80 |
$476.81 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
242 |
214 |
$376.30 |
| D0274 |
Bitewings - four radiographic images |
17 |
16 |
$259.19 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
14 |
$179.34 |
| 81003 |
|
167 |
137 |
$171.01 |
| 99173 |
|
34 |
28 |
$170.74 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
48 |
38 |
$107.05 |
| 90656 |
|
31 |
14 |
$80.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
13 |
$27.95 |