| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,935 |
14,432 |
$2.32M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,462 |
7,508 |
$931K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,683 |
1,399 |
$251K |
| W0037 |
|
7,663 |
7,663 |
$190K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,206 |
1,167 |
$187K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,110 |
754 |
$124K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
600 |
588 |
$93K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
482 |
463 |
$73K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
424 |
387 |
$55K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,024 |
1,914 |
$52K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
266 |
241 |
$31K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
116 |
106 |
$18K |
| 90834 |
Psychotherapy, 45 minutes with patient |
145 |
125 |
$17K |
| 99215 |
Prolong outpt/office vis |
83 |
72 |
$13K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
97 |
82 |
$11K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
72 |
68 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
761 |
697 |
$7K |
| 99188 |
|
314 |
273 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
154 |
134 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,963 |
1,805 |
$5K |
| 90686 |
|
1,561 |
1,489 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,769 |
1,696 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
321 |
261 |
$569.89 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
24 |
23 |
$516.18 |
| 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 |
26 |
24 |
$446.08 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
436 |
417 |
$158.58 |
| 90656 |
|
350 |
340 |
$150.20 |
| 90670 |
|
581 |
565 |
$101.48 |
| 90715 |
|
165 |
157 |
$68.78 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
223 |
207 |
$66.83 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
15 |
14 |
$39.07 |
| 90651 |
|
250 |
240 |
$35.87 |
| 90680 |
|
392 |
380 |
$0.00 |
| 90647 |
|
369 |
355 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
363 |
349 |
$0.00 |
| 90697 |
|
275 |
263 |
$0.00 |
| 90723 |
|
325 |
315 |
$0.00 |
| 90677 |
|
158 |
153 |
$0.00 |
| 90716 |
|
68 |
67 |
$0.00 |
| 90480 |
|
120 |
117 |
$0.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
26 |
26 |
$0.00 |
| 90381 |
|
23 |
19 |
$0.00 |
| 96380 |
|
20 |
17 |
$0.00 |
| 94760 |
|
13 |
12 |
$0.00 |
| 99177 |
|
586 |
567 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
125 |
57 |
$0.00 |
| 90461 |
|
1,281 |
1,230 |
$0.00 |
| 90633 |
|
185 |
183 |
$0.00 |
| 91321 |
|
50 |
49 |
$0.00 |
| 90671 |
|
286 |
275 |
$0.00 |
| 90700 |
|
26 |
24 |
$0.00 |
| 90734 |
|
95 |
91 |
$0.00 |
| 90707 |
|
56 |
55 |
$0.00 |
| 90380 |
|
17 |
15 |
$0.00 |
| 96381 |
|
29 |
14 |
$0.00 |