| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
224,205 |
210,587 |
$8.79M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
209,021 |
197,712 |
$6.38M |
| 90834 |
Psychotherapy, 45 minutes with patient |
16,588 |
14,043 |
$837K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15,918 |
15,146 |
$800K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12,045 |
11,992 |
$593K |
| T1015 |
Clinic visit/encounter, all-inclusive |
4,665 |
4,043 |
$472K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
9,236 |
9,203 |
$401K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
7,547 |
7,440 |
$377K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12,228 |
11,981 |
$363K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12,671 |
12,409 |
$259K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
2,614 |
2,602 |
$233K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
81,160 |
80,119 |
$203K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,950 |
2,888 |
$199K |
| 99215 |
Prolong outpt/office vis |
3,066 |
2,884 |
$152K |
| 90674 |
|
9,631 |
9,574 |
$143K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,246 |
3,235 |
$142K |
| 80305 |
|
11,989 |
10,629 |
$124K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,210 |
3,158 |
$121K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
8,625 |
4,515 |
$119K |
| 99442 |
|
4,169 |
3,960 |
$116K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
3,606 |
1,271 |
$101K |
| 90791 |
Psychiatric diagnostic evaluation |
1,073 |
1,070 |
$86K |
| 97802 |
|
1,915 |
1,899 |
$84K |
| 90670 |
|
8,643 |
8,589 |
$82K |
| 90837 |
Psychotherapy, 53 minutes with patient |
970 |
809 |
$82K |
| 92552 |
|
8,121 |
8,078 |
$81K |
| 99441 |
|
4,414 |
4,240 |
$77K |
| 99443 |
|
1,358 |
1,319 |
$76K |
| 90686 |
|
9,459 |
9,411 |
$74K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
11,279 |
11,054 |
$74K |
| 0012A |
|
1,776 |
1,772 |
$68K |
| 36415 |
Collection of venous blood by venipuncture |
31,028 |
29,770 |
$65K |
| 90688 |
|
8,965 |
8,918 |
$62K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
3,240 |
1,137 |
$58K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,773 |
5,972 |
$56K |
| 0011A |
|
2,078 |
2,068 |
$53K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
48,693 |
31,669 |
$50K |
| 97803 |
|
1,776 |
1,413 |
$46K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,984 |
2,949 |
$41K |
| 0064A |
|
1,275 |
1,254 |
$39K |
| 90633 |
|
4,817 |
4,787 |
$36K |
| 36416 |
|
27,051 |
26,313 |
$33K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,703 |
4,123 |
$32K |
| 90651 |
|
3,566 |
3,555 |
$31K |
| 90680 |
|
3,834 |
3,811 |
$30K |
| 90698 |
|
3,910 |
3,887 |
$29K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
719 |
714 |
$23K |
| 81025 |
|
4,876 |
4,764 |
$23K |
| 90715 |
|
1,990 |
1,981 |
$22K |
| 0071A |
|
623 |
621 |
$22K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,430 |
1,037 |
$20K |
| 90744 |
|
2,644 |
2,624 |
$19K |
| 0072A |
|
466 |
464 |
$17K |
| 0134A |
|
426 |
419 |
$15K |
| 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 |
906 |
833 |
$15K |
| 81002 |
|
7,277 |
7,084 |
$13K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
160 |
159 |
$12K |
| 99381 |
|
202 |
193 |
$12K |
| 90677 |
|
1,131 |
1,131 |
$10K |
| 99383 |
|
149 |
149 |
$10K |
| 90716 |
|
773 |
765 |
$9K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
239 |
226 |
$9K |
| 90707 |
|
618 |
610 |
$9K |
| 90661 |
|
253 |
253 |
$9K |
| 90480 |
|
291 |
290 |
$8K |
| 99408 |
|
415 |
406 |
$8K |
| 91322 |
|
104 |
104 |
$8K |
| 90685 |
|
1,076 |
1,071 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
114 |
113 |
$8K |
| 90734 |
|
1,225 |
1,221 |
$7K |
| 90697 |
|
692 |
686 |
$7K |
| 90746 |
|
138 |
138 |
$6K |
| 92250 |
|
176 |
176 |
$6K |
| 96127 |
|
3,047 |
2,421 |
$6K |
| 92551 |
|
1,589 |
1,571 |
$6K |
| 90832 |
Psychotherapy, 30 minutes with patient |
128 |
128 |
$5K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
208 |
69 |
$5K |
| 90710 |
|
701 |
697 |
$5K |
| 97535 |
Self-care/home management training, each 15 minutes |
260 |
144 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
413 |
406 |
$4K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
65 |
59 |
$4K |
| 98926 |
|
139 |
120 |
$3K |
| 85018 |
|
2,908 |
2,889 |
$3K |
| 90656 |
|
601 |
601 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
840 |
805 |
$3K |
| 99409 |
|
80 |
80 |
$3K |
| 90696 |
|
345 |
342 |
$3K |
| 90700 |
|
335 |
333 |
$2K |
| 0111A |
|
66 |
66 |
$2K |
| 89220 |
|
232 |
193 |
$2K |
| 97161 |
|
41 |
40 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
42 |
36 |
$2K |
| 90619 |
|
151 |
151 |
$2K |
| 90739 |
|
13 |
13 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
42 |
36 |
$1K |
| 99386 |
|
12 |
12 |
$1K |
| 90713 |
|
128 |
126 |
$1K |
| 99385 |
|
17 |
17 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
64 |
64 |
$1K |
| 90647 |
|
188 |
186 |
$1K |
| 90474 |
|
1,083 |
1,076 |
$1K |
| 0144A |
|
25 |
25 |
$840.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
802 |
738 |
$821.83 |
| 90672 |
|
122 |
122 |
$815.24 |
| 90733 |
|
13 |
13 |
$814.10 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
24 |
12 |
$696.00 |
| 90473 |
|
2,327 |
2,312 |
$615.04 |
| 17110 |
|
14 |
13 |
$494.63 |
| 91321 |
|
80 |
80 |
$487.56 |
| 90658 |
|
25 |
25 |
$420.00 |
| 99384 |
|
12 |
12 |
$334.26 |
| 93000 |
|
77 |
75 |
$309.93 |
| 99382 |
|
12 |
12 |
$294.55 |
| 90723 |
|
51 |
51 |
$278.10 |
| 99173 |
|
150 |
150 |
$244.04 |
| 69209 |
|
22 |
14 |
$131.32 |
| 99397 |
|
12 |
12 |
$127.92 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$125.61 |
| 3075F |
|
21,162 |
20,588 |
$121.61 |
| 3080F |
|
7,241 |
6,905 |
$121.60 |
| 99072 |
|
12,246 |
11,557 |
$69.33 |
| 81003 |
|
43 |
42 |
$62.06 |
| 99406 |
|
1,325 |
1,289 |
$29.61 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$14.76 |
| 3074F |
|
138,301 |
130,959 |
$0.02 |
| 3079F |
|
51,981 |
50,064 |
$0.01 |
| 3008F |
|
14,350 |
13,965 |
$0.01 |
| 1000F |
|
24,286 |
23,248 |
$0.01 |
| 91301 |
|
4,984 |
4,863 |
$0.01 |
| 3078F |
|
124,018 |
117,759 |
$0.01 |
| 3351F |
|
14,208 |
13,649 |
$0.00 |
| 91307 |
|
1,397 |
1,334 |
$0.00 |
| 1034F |
|
2,249 |
2,116 |
$0.00 |
| 1036F |
|
17,168 |
16,423 |
$0.00 |
| 3354F |
|
244 |
234 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
1,383 |
1,330 |
$0.00 |
| 3352F |
|
2,084 |
2,028 |
$0.00 |
| 3044F |
|
212 |
211 |
$0.00 |
| 4000F |
|
5,145 |
4,986 |
$0.00 |
| 91306 |
|
1,122 |
1,113 |
$0.00 |
| 90694 |
|
369 |
357 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
170 |
168 |
$0.00 |
| 3353F |
|
321 |
315 |
$0.00 |
| 91314 |
|
25 |
25 |
$0.00 |
| 1125F |
|
30 |
30 |
$0.00 |
| 1126F |
|
107 |
107 |
$0.00 |
| 90732 |
|
18 |
18 |
$0.00 |
| 99000 |
|
19 |
18 |
$0.00 |
| 3077F |
|
18,390 |
17,448 |
$0.00 |
| 3725F |
|
16,171 |
15,360 |
$0.00 |
| 90653 |
|
545 |
531 |
$0.00 |
| 91311 |
|
207 |
206 |
$0.00 |
| 0502F |
|
701 |
574 |
$0.00 |
| 2028F |
|
119 |
115 |
$0.00 |
| 91313 |
|
437 |
430 |
$0.00 |
| 1159F |
|
47 |
47 |
$0.00 |
| 3046F |
|
12 |
12 |
$0.00 |
| 0013A |
|
17 |
16 |
$0.00 |