| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,192 |
25,422 |
$856K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,682 |
1,146 |
$126K |
| 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 |
11,706 |
4,508 |
$100K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,535 |
1,449 |
$66K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
823 |
794 |
$53K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,013 |
718 |
$52K |
| D1110 |
Prophylaxis - adult |
1,096 |
1,061 |
$48K |
| D0330 |
Panoramic radiographic image |
1,156 |
1,121 |
$45K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,048 |
560 |
$38K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,332 |
1,202 |
$37K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,855 |
5,540 |
$34K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,148 |
1,112 |
$31K |
| 36415 |
Collection of venous blood by venipuncture |
11,370 |
9,470 |
$30K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,558 |
3,370 |
$24K |
| D0274 |
Bitewings - four radiographic images |
1,019 |
990 |
$23K |
| D0140 |
Limited oral evaluation - problem focused |
616 |
598 |
$20K |
| V2020 |
Frames, purchases |
931 |
872 |
$18K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
538 |
513 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,004 |
496 |
$13K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
346 |
309 |
$12K |
| 90832 |
Psychotherapy, 30 minutes with patient |
250 |
191 |
$11K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,185 |
926 |
$11K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
130 |
121 |
$11K |
| 92015 |
Determination of refractive state |
1,670 |
1,576 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
499 |
479 |
$6K |
| D0220 |
Intraoral - periapical first radiographic image |
617 |
592 |
$4K |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,258 |
1,139 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
317 |
264 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
44 |
43 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
148 |
147 |
$4K |
| 80053 |
Comprehensive metabolic panel |
412 |
392 |
$3K |
| 90674 |
|
147 |
144 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
291 |
288 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
204 |
186 |
$3K |
| 90756 |
|
99 |
97 |
$1K |
| 80061 |
Lipid panel |
133 |
130 |
$1K |
| 90686 |
|
81 |
77 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
61 |
60 |
$969.89 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
47 |
44 |
$957.62 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
13 |
$776.55 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
15 |
12 |
$730.50 |
| 80305 |
|
75 |
74 |
$590.30 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
30 |
29 |
$532.38 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
14 |
13 |
$493.49 |
| 81001 |
|
332 |
316 |
$377.77 |
| 90661 |
|
13 |
13 |
$361.66 |
| 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 |
34 |
34 |
$264.44 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
23 |
21 |
$210.00 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
12 |
12 |
$175.00 |
| 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 |
103 |
91 |
$154.55 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
17 |
12 |
$133.72 |
| 36416 |
|
76 |
63 |
$132.34 |
| 94760 |
|
12 |
12 |
$12.58 |
| 81003 |
|
12 |
12 |
$8.31 |
| 3074F |
|
1,571 |
1,483 |
$6.52 |
| 3078F |
|
1,458 |
1,370 |
$5.90 |
| 3044F |
|
430 |
397 |
$1.61 |
| 4004F |
|
7,376 |
6,603 |
$1.35 |
| 3079F |
|
245 |
239 |
$0.99 |
| 1036F |
|
3,561 |
3,297 |
$0.91 |
| D0999 |
Unspecified diagnostic procedure, by report |
914 |
854 |
$0.44 |
| 3075F |
|
41 |
41 |
$0.15 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,742 |
4,365 |
$0.04 |
| D1330 |
|
15 |
15 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
902 |
840 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
52 |
52 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
33 |
33 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
14 |
13 |
$0.00 |