| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
59,824 |
47,078 |
$9.62M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
46,714 |
35,528 |
$7.55M |
| X5622 |
|
4,317 |
4,019 |
$1.05M |
| 90837 |
Psychotherapy, 53 minutes with patient |
5,397 |
2,801 |
$819K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,524 |
3,756 |
$615K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,393 |
2,309 |
$334K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,804 |
1,612 |
$262K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,078 |
2,619 |
$241K |
| 99215 |
Prolong outpt/office vis |
1,306 |
1,225 |
$190K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,711 |
2,255 |
$183K |
| 99442 |
|
516 |
481 |
$92K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
477 |
476 |
$78K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
298 |
226 |
$69K |
| 99443 |
|
280 |
270 |
$53K |
| 90834 |
Psychotherapy, 45 minutes with patient |
282 |
218 |
$47K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
920 |
835 |
$44K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
243 |
149 |
$41K |
| 99441 |
|
187 |
187 |
$34K |
| 99243 |
|
202 |
198 |
$30K |
| 90791 |
Psychiatric diagnostic evaluation |
159 |
125 |
$25K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
440 |
374 |
$21K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
152 |
86 |
$20K |
| 99310 |
Prolong nursin fac eval 15m |
69 |
55 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
125 |
125 |
$16K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
115 |
115 |
$13K |
| 99307 |
|
92 |
87 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
88 |
82 |
$12K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
44 |
40 |
$11K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
65 |
64 |
$5K |
| 99188 |
|
550 |
270 |
$3K |
| 96130 |
|
23 |
12 |
$2K |
| 99347 |
|
12 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
27,345 |
21,486 |
$1K |
| 80053 |
Comprehensive metabolic panel |
7,488 |
6,556 |
$513.53 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,622 |
4,265 |
$364.45 |
| 85027 |
|
6,127 |
5,547 |
$330.90 |
| 91320 |
|
21 |
12 |
$262.20 |
| 90670 |
|
2,006 |
1,922 |
$224.40 |
| Q3014 |
Telehealth originating site facility fee |
27 |
26 |
$223.50 |
| 90686 |
|
3,869 |
3,423 |
$183.32 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,075 |
3,720 |
$112.52 |
| 80061 |
Lipid panel |
2,469 |
2,401 |
$99.20 |
| 90480 |
|
23 |
13 |
$81.38 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
211 |
158 |
$64.43 |
| 87510 |
|
388 |
381 |
$62.37 |
| 87480 |
|
388 |
381 |
$62.37 |
| 87660 |
|
388 |
381 |
$62.37 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
321 |
309 |
$51.31 |
| 0002A |
|
476 |
472 |
$37.64 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
4,601 |
4,366 |
$35.09 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
3,454 |
3,218 |
$24.33 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,394 |
2,340 |
$20.14 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,902 |
1,819 |
$19.48 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,729 |
3,267 |
$19.11 |
| 90461 |
|
4,575 |
3,970 |
$18.51 |
| 92551 |
|
7,098 |
5,718 |
$18.30 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,248 |
6,059 |
$16.77 |
| 84703 |
|
1,883 |
1,781 |
$15.32 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
972 |
910 |
$14.97 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
730 |
541 |
$14.28 |
| 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) |
415 |
381 |
$13.96 |
| 81001 |
|
3,135 |
2,951 |
$13.43 |
| 0001A |
|
519 |
512 |
$12.08 |
| 36416 |
|
106 |
88 |
$9.00 |
| 96127 |
|
7,524 |
6,106 |
$7.70 |
| 83735 |
|
511 |
425 |
$6.95 |
| 99173 |
|
6,856 |
5,617 |
$4.34 |
| 90651 |
|
374 |
369 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,486 |
981 |
$0.00 |
| 90723 |
|
1,481 |
1,404 |
$0.00 |
| 86140 |
|
178 |
169 |
$0.00 |
| 90680 |
|
1,139 |
1,082 |
$0.00 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,041 |
943 |
$0.00 |
| 90647 |
|
1,097 |
1,054 |
$0.00 |
| 90696 |
|
85 |
82 |
$0.00 |
| 0072A |
|
86 |
84 |
$0.00 |
| 85018 |
|
49 |
48 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
28 |
24 |
$0.00 |
| 85652 |
|
55 |
53 |
$0.00 |
| 90656 |
|
159 |
98 |
$0.00 |
| 90677 |
|
77 |
39 |
$0.00 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
13 |
12 |
$0.00 |
| 90734 |
|
236 |
234 |
$0.00 |
| 90715 |
|
601 |
588 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
974 |
969 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
233 |
227 |
$0.00 |
| 90685 |
|
189 |
184 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,424 |
1,364 |
$0.00 |
| 90633 |
|
715 |
661 |
$0.00 |
| 81003 |
|
889 |
876 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
362 |
360 |
$0.00 |
| 0004A |
|
31 |
31 |
$0.00 |
| 97803 |
|
277 |
253 |
$0.00 |
| 87631 |
|
122 |
120 |
$0.00 |
| 87634 |
|
66 |
64 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
296 |
147 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
24 |
24 |
$0.00 |
| 90710 |
|
84 |
81 |
$0.00 |
| 87210 |
|
131 |
122 |
$0.00 |
| 0054A |
|
24 |
24 |
$0.00 |
| 0071A |
|
129 |
128 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
12 |
12 |
$0.00 |
| 0124A |
|
27 |
14 |
$0.00 |