| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90834 |
Psychotherapy, 45 minutes with patient |
4,994 |
3,638 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40,485 |
31,466 |
$39K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,522 |
1,820 |
$23K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
4,166 |
2,934 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,688 |
1,591 |
$8K |
| S9455 |
Diabetic management program, group session |
248 |
218 |
$7K |
| 98940 |
|
1,589 |
1,238 |
$7K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
154 |
141 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
204 |
203 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,387 |
2,872 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
294 |
294 |
$1K |
| 59425 |
|
77 |
49 |
$1K |
| 90688 |
|
1,175 |
1,168 |
$780.73 |
| 90715 |
|
370 |
350 |
$647.21 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
315 |
314 |
$571.78 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
340 |
339 |
$544.70 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
26 |
26 |
$456.00 |
| 90670 |
|
229 |
229 |
$434.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
180 |
180 |
$398.93 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
404 |
372 |
$294.82 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
223 |
223 |
$288.48 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
99 |
76 |
$246.52 |
| 99401 |
|
384 |
354 |
$233.06 |
| 85018 |
|
1,279 |
1,252 |
$228.40 |
| 92551 |
|
849 |
842 |
$219.83 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
223 |
223 |
$213.20 |
| V2020 |
Frames, purchases |
282 |
282 |
$211.00 |
| 99173 |
|
996 |
988 |
$190.46 |
| 90686 |
|
876 |
845 |
$184.20 |
| 92015 |
Determination of refractive state |
393 |
393 |
$174.46 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
152 |
142 |
$173.73 |
| 86580 |
|
253 |
245 |
$140.68 |
| 81003 |
|
1,888 |
1,656 |
$121.73 |
| 81025 |
|
770 |
732 |
$100.13 |
| 96151 |
|
39 |
37 |
$98.60 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
623 |
461 |
$78.62 |
| 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 |
197 |
197 |
$74.76 |
| 90647 |
|
151 |
147 |
$63.00 |
| 82962 |
|
623 |
539 |
$53.12 |
| 72100 |
|
114 |
113 |
$52.91 |
| 99460 |
|
268 |
221 |
$51.50 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
23 |
15 |
$47.55 |
| 90633 |
|
71 |
71 |
$36.00 |
| 90723 |
|
80 |
80 |
$36.00 |
| 92341 |
|
27 |
27 |
$31.48 |
| 72040 |
|
62 |
62 |
$29.78 |
| 99201 |
|
27 |
24 |
$19.58 |
| 92227 |
|
56 |
56 |
$17.54 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
22 |
13 |
$12.00 |
| 90621 |
|
14 |
14 |
$9.00 |
| 90681 |
|
13 |
13 |
$9.00 |
| 97803 |
|
63 |
55 |
$8.75 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
64 |
59 |
$5.75 |
| 73562 |
|
102 |
90 |
$0.00 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
337 |
247 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
131 |
120 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
84 |
84 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
78 |
78 |
$0.00 |
| 90649 |
|
79 |
78 |
$0.00 |
| 99382 |
|
12 |
12 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
57 |
55 |
$0.00 |
| 96156 |
|
259 |
235 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
34 |
26 |
$0.00 |
| 99383 |
|
17 |
17 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
22 |
19 |
$0.00 |
| 71020 |
|
15 |
15 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
15 |
13 |
$0.00 |