| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44,476 |
38,896 |
$6.92M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,401 |
10,185 |
$1.79M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,003 |
7,654 |
$1.64M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,635 |
3,339 |
$568K |
| 36415 |
Collection of venous blood by venipuncture |
20,058 |
17,674 |
$482K |
| 520 |
|
579 |
503 |
$128K |
| 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 |
3,660 |
3,123 |
$105K |
| 96127 |
|
2,361 |
2,081 |
$105K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17,317 |
14,210 |
$96K |
| 99173 |
|
2,074 |
1,724 |
$89K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
585 |
488 |
$88K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
586 |
544 |
$58K |
| 90837 |
Psychotherapy, 53 minutes with patient |
426 |
219 |
$58K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
234 |
227 |
$53K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
225 |
217 |
$49K |
| X5622 |
|
1,054 |
710 |
$45K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,684 |
3,718 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
202 |
194 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
236 |
208 |
$34K |
| 90834 |
Psychotherapy, 45 minutes with patient |
300 |
159 |
$30K |
| 90686 |
|
7,982 |
7,024 |
$27K |
| 92015 |
Determination of refractive state |
4,193 |
3,872 |
$25K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
114 |
101 |
$23K |
| 91320 |
|
253 |
233 |
$14K |
| 0011A |
|
494 |
467 |
$13K |
| 0012A |
|
431 |
416 |
$13K |
| 81003 |
|
2,341 |
1,788 |
$11K |
| 90716 |
|
270 |
241 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
40 |
$10K |
| 99215 |
Prolong outpt/office vis |
46 |
38 |
$8K |
| 90480 |
|
401 |
362 |
$8K |
| 90715 |
|
465 |
411 |
$7K |
| 92551 |
|
1,843 |
1,522 |
$6K |
| 36416 |
|
251 |
223 |
$6K |
| 97802 |
|
31 |
26 |
$5K |
| 90651 |
|
255 |
230 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
45 |
26 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
37 |
36 |
$5K |
| 81025 |
|
228 |
212 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
221 |
194 |
$4K |
| 99201 |
|
20 |
19 |
$4K |
| 0124A |
|
161 |
144 |
$4K |
| 90746 |
|
92 |
83 |
$4K |
| 90713 |
|
376 |
350 |
$3K |
| 90656 |
|
413 |
408 |
$3K |
| 0064A |
|
130 |
123 |
$3K |
| 97803 |
|
20 |
12 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
671 |
620 |
$2K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
39 |
13 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$2K |
| 99188 |
|
217 |
204 |
$896.82 |
| 90707 |
|
53 |
53 |
$871.39 |
| 98940 |
|
50 |
17 |
$827.20 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
13 |
12 |
$731.55 |
| 85018 |
|
489 |
458 |
$497.71 |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
24 |
24 |
$488.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
71 |
69 |
$471.52 |
| 90688 |
|
27 |
26 |
$463.84 |
| 0071A |
|
39 |
36 |
$446.04 |
| 90714 |
|
42 |
41 |
$371.68 |
| 0002A |
|
32 |
31 |
$359.36 |
| 0001A |
|
42 |
41 |
$288.80 |
| 90670 |
|
171 |
166 |
$181.06 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
42 |
40 |
$30.11 |
| 91300 |
|
158 |
145 |
$0.00 |
| 90633 |
|
251 |
231 |
$0.00 |
| 90700 |
|
67 |
67 |
$0.00 |
| 80305 |
|
255 |
158 |
$0.00 |
| 90648 |
|
95 |
94 |
$0.00 |
| 91312 |
|
54 |
43 |
$0.00 |
| 90734 |
|
25 |
25 |
$0.00 |
| 90723 |
|
73 |
72 |
$0.00 |
| 94760 |
|
15 |
13 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 91307 |
|
75 |
68 |
$0.00 |
| 91301 |
|
260 |
245 |
$0.00 |
| 90680 |
|
44 |
44 |
$0.00 |
| 91306 |
|
20 |
18 |
$0.00 |
| 90619 |
|
57 |
54 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$0.00 |
| 0072A |
|
15 |
12 |
$0.00 |
| 92310 |
|
65 |
56 |
$0.00 |
| 91305 |
|
26 |
25 |
$0.00 |
| 97014 |
|
138 |
42 |
$0.00 |