| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
132,191 |
124,050 |
$938K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
51,227 |
47,448 |
$882K |
| T1015 |
Clinic visit/encounter, all-inclusive |
3,817 |
2,243 |
$815K |
| 90832 |
Psychotherapy, 30 minutes with patient |
10,303 |
8,392 |
$434K |
| 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 |
17,378 |
13,853 |
$251K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,425 |
6,595 |
$146K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,748 |
1,570 |
$96K |
| 59025 |
Fetal non-stress test |
2,184 |
1,085 |
$93K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,167 |
1,154 |
$82K |
| 0002A |
|
1,989 |
1,965 |
$78K |
| 0001A |
|
2,015 |
1,997 |
$73K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12,629 |
12,300 |
$51K |
| 99460 |
|
671 |
651 |
$40K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,370 |
5,325 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,454 |
4,418 |
$27K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,413 |
4,357 |
$26K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,112 |
923 |
$24K |
| 90837 |
Psychotherapy, 53 minutes with patient |
242 |
208 |
$22K |
| 99215 |
Prolong outpt/office vis |
226 |
207 |
$19K |
| 99442 |
|
632 |
584 |
$16K |
| 99443 |
|
315 |
280 |
$15K |
| 0072A |
|
343 |
342 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,904 |
2,869 |
$13K |
| 0071A |
|
325 |
322 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
2,305 |
2,224 |
$13K |
| 0004A |
|
317 |
313 |
$12K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
267 |
244 |
$12K |
| 90686 |
|
7,848 |
7,705 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,597 |
3,509 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,363 |
3,473 |
$10K |
| 90677 |
|
469 |
463 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
191 |
190 |
$9K |
| 0054A |
|
215 |
213 |
$8K |
| 91320 |
|
95 |
92 |
$8K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
79 |
79 |
$7K |
| 90670 |
|
3,418 |
3,363 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
102 |
102 |
$7K |
| 90715 |
|
1,150 |
1,132 |
$6K |
| 0124A |
|
150 |
150 |
$6K |
| 0052A |
|
136 |
135 |
$5K |
| 96127 |
|
1,285 |
1,271 |
$5K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
79 |
70 |
$5K |
| 90697 |
|
593 |
575 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
25 |
25 |
$3K |
| 90480 |
|
98 |
97 |
$3K |
| 90648 |
|
1,506 |
1,485 |
$3K |
| 95117 |
|
420 |
140 |
$2K |
| 90619 |
|
235 |
233 |
$2K |
| 99441 |
|
703 |
665 |
$2K |
| 90651 |
|
1,247 |
1,229 |
$2K |
| 90688 |
|
2,392 |
2,377 |
$2K |
| 0051A |
|
44 |
43 |
$2K |
| 72110 |
|
231 |
227 |
$2K |
| 90681 |
|
774 |
758 |
$1K |
| 90723 |
|
712 |
702 |
$1K |
| 90633 |
|
1,082 |
1,070 |
$1K |
| 0003A |
|
31 |
31 |
$1K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
82 |
81 |
$993.73 |
| 73610 |
|
186 |
179 |
$929.43 |
| 90716 |
|
336 |
327 |
$924.39 |
| 73030 |
|
181 |
171 |
$869.57 |
| 73630 |
|
199 |
185 |
$867.68 |
| 99384 |
|
14 |
14 |
$832.84 |
| 74018 |
|
171 |
168 |
$832.13 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
18 |
13 |
$778.17 |
| 90707 |
|
337 |
332 |
$772.86 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
15 |
15 |
$769.65 |
| 90656 |
|
244 |
243 |
$757.08 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
391 |
388 |
$726.13 |
| 99462 |
|
26 |
25 |
$692.37 |
| 73562 |
|
130 |
116 |
$635.59 |
| 0074A |
|
13 |
13 |
$520.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
29 |
27 |
$427.90 |
| 73130 |
|
89 |
82 |
$380.08 |
| 90734 |
|
469 |
466 |
$276.24 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
64 |
57 |
$258.33 |
| 90620 |
|
44 |
44 |
$185.72 |
| 90710 |
|
200 |
194 |
$179.80 |
| 74019 |
|
28 |
27 |
$171.25 |
| 90685 |
|
249 |
246 |
$130.42 |
| 73564 |
|
16 |
14 |
$96.60 |
| 90696 |
|
69 |
69 |
$90.00 |
| 90700 |
|
90 |
90 |
$79.93 |
| 86580 |
|
137 |
126 |
$74.03 |
| 73140 |
|
12 |
12 |
$57.83 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
43 |
43 |
$37.46 |
| 90698 |
|
24 |
24 |
$30.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
15 |
$25.03 |
| 90744 |
|
13 |
12 |
$20.00 |
| 91300 |
|
157 |
139 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
63 |
56 |
$0.00 |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
12 |
12 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
94 |
93 |
$0.00 |
| 91305 |
|
19 |
16 |
$0.00 |