| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,952 |
12,200 |
$2.10M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,310 |
2,900 |
$570K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,282 |
2,276 |
$394K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,400 |
2,281 |
$345K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,575 |
1,569 |
$276K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,276 |
1,265 |
$226K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,320 |
1,267 |
$203K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
647 |
631 |
$102K |
| 98967 |
|
478 |
440 |
$79K |
| 98966 |
|
421 |
400 |
$72K |
| 99442 |
|
334 |
319 |
$58K |
| 99460 |
|
277 |
277 |
$43K |
| 0012A |
|
231 |
228 |
$38K |
| 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 |
1,920 |
1,562 |
$26K |
| 99441 |
|
147 |
145 |
$26K |
| 0071A |
|
143 |
143 |
$22K |
| 0072A |
|
126 |
126 |
$21K |
| 0011A |
|
127 |
120 |
$18K |
| 99462 |
|
125 |
89 |
$18K |
| 0064A |
|
119 |
118 |
$10K |
| Q3014 |
Telehealth originating site facility fee |
1,386 |
1,054 |
$9K |
| 0134A |
|
98 |
98 |
$7K |
| 0003A |
|
67 |
67 |
$7K |
| 0124A |
|
77 |
77 |
$6K |
| 0001A |
|
46 |
46 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
28 |
$5K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
46 |
40 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
20 |
16 |
$3K |
| 0013A |
|
16 |
16 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,572 |
4,545 |
$360.47 |
| 99000 |
|
5,341 |
5,104 |
$229.20 |
| 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 |
12 |
12 |
$201.78 |
| 99173 |
|
82 |
81 |
$194.39 |
| 91301 |
|
455 |
379 |
$177.14 |
| 80305 |
|
1,298 |
1,151 |
$175.20 |
| 36415 |
Collection of venous blood by venipuncture |
3,314 |
3,223 |
$157.63 |
| 81003 |
|
839 |
808 |
$38.89 |
| 91322 |
|
27 |
26 |
$35.40 |
| 90461 |
|
2,729 |
2,717 |
$33.27 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,606 |
1,585 |
$17.91 |
| 90686 |
|
1,484 |
1,477 |
$16.70 |
| 85018 |
|
1,139 |
1,121 |
$12.33 |
| 90670 |
|
610 |
606 |
$11.66 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
43 |
40 |
$10.84 |
| 90662 |
|
15 |
12 |
$7.28 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,658 |
1,649 |
$4.66 |
| 90715 |
|
152 |
151 |
$4.22 |
| 90681 |
|
111 |
111 |
$0.00 |
| 81025 |
|
199 |
192 |
$0.00 |
| 90633 |
|
721 |
710 |
$0.00 |
| 91312 |
|
32 |
32 |
$0.00 |
| 90672 |
|
31 |
31 |
$0.00 |
| 90648 |
|
719 |
699 |
$0.00 |
| 99188 |
|
226 |
226 |
$0.00 |
| 90473 |
|
66 |
66 |
$0.00 |
| 90734 |
|
101 |
100 |
$0.00 |
| 91313 |
|
103 |
100 |
$0.00 |
| 90655 |
|
32 |
32 |
$0.00 |
| 90649 |
|
74 |
74 |
$0.00 |
| 91300 |
|
411 |
216 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
98 |
96 |
$0.00 |
| 83655 |
|
53 |
53 |
$0.00 |
| 90710 |
|
25 |
25 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90480 |
|
46 |
44 |
$0.00 |
| 90680 |
|
911 |
891 |
$0.00 |
| 90723 |
|
533 |
516 |
$0.00 |
| 90716 |
|
68 |
68 |
$0.00 |
| 90696 |
|
39 |
39 |
$0.00 |
| 90651 |
|
216 |
216 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
274 |
189 |
$0.00 |
| 91306 |
|
147 |
82 |
$0.00 |
| 91307 |
|
641 |
304 |
$0.00 |
| 90697 |
|
101 |
101 |
$0.00 |
| 36416 |
|
53 |
53 |
$0.00 |
| 86803 |
|
41 |
39 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$0.00 |
| 81005 |
|
88 |
49 |
$0.00 |
| 90688 |
|
17 |
17 |
$0.00 |