| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
180,432 |
126,072 |
$6.22M |
| 90832 |
Psychotherapy, 30 minutes with patient |
47,801 |
26,601 |
$1.73M |
| T1007 |
Alcohol and/or substance abuse services, treatment plan development and/or modification |
13,009 |
11,659 |
$752K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,926 |
3,845 |
$135K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
9,875 |
4,793 |
$131K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,373 |
6,921 |
$98K |
| 90791 |
Psychiatric diagnostic evaluation |
1,153 |
1,089 |
$90K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,259 |
1,022 |
$69K |
| 99442 |
|
1,952 |
1,059 |
$68K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,023 |
1,011 |
$64K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
879 |
773 |
$56K |
| 99173 |
|
1,892 |
1,852 |
$53K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,988 |
1,377 |
$52K |
| H0001 |
Alcohol and/or drug assessment |
949 |
891 |
$49K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
909 |
852 |
$48K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
685 |
667 |
$47K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
3,160 |
2,556 |
$47K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
862 |
821 |
$46K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,350 |
1,258 |
$44K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
4,269 |
2,247 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
583 |
577 |
$39K |
| 99051 |
|
13,419 |
12,440 |
$37K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
320 |
290 |
$24K |
| 92552 |
|
2,070 |
2,015 |
$21K |
| 99441 |
|
910 |
535 |
$18K |
| 99307 |
|
406 |
383 |
$18K |
| 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 |
1,810 |
1,631 |
$14K |
| 90834 |
Psychotherapy, 45 minutes with patient |
278 |
201 |
$14K |
| 87807 |
|
1,035 |
957 |
$12K |
| 99205 |
Prolong outpt/office vis |
143 |
131 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
734 |
726 |
$10K |
| 90837 |
Psychotherapy, 53 minutes with patient |
122 |
93 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,291 |
1,210 |
$8K |
| H2027 |
Psychoeducational service, per 15 minutes |
349 |
157 |
$8K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
214 |
188 |
$8K |
| 90461 |
|
247 |
246 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
784 |
741 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
463 |
429 |
$4K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,558 |
2,316 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
175 |
169 |
$4K |
| 93000 |
|
220 |
207 |
$3K |
| 99490 |
Ccm add 20min |
118 |
117 |
$3K |
| 81025 |
|
360 |
347 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
59 |
58 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
182 |
164 |
$2K |
| 90686 |
|
937 |
921 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
792 |
702 |
$2K |
| 82962 |
|
732 |
695 |
$2K |
| 99417 |
Prolong home eval add 15m |
108 |
83 |
$2K |
| 0071A |
|
42 |
40 |
$2K |
| 0072A |
|
39 |
32 |
$1K |
| 81002 |
|
3,413 |
3,148 |
$1K |
| 0002A |
|
30 |
29 |
$1K |
| 83655 |
|
90 |
88 |
$1K |
| 97802 |
|
92 |
91 |
$782.62 |
| 0001A |
|
19 |
18 |
$720.00 |
| 96127 |
|
157 |
154 |
$520.52 |
| 0004A |
|
15 |
12 |
$480.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
39 |
39 |
$377.93 |
| Q3014 |
Telehealth originating site facility fee |
532 |
306 |
$354.39 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
384 |
370 |
$236.59 |
| 90658 |
|
36 |
36 |
$204.99 |
| H0038 |
Self-help/peer services, per 15 minutes |
12 |
12 |
$112.58 |
| 86580 |
|
36 |
31 |
$109.45 |
| 99050 |
|
13 |
12 |
$97.50 |
| 90633 |
|
443 |
441 |
$96.03 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
31 |
29 |
$20.58 |
| 99406 |
|
52 |
35 |
$17.72 |
| 96151 |
|
26 |
24 |
$11.41 |
| 36416 |
|
58 |
57 |
$4.90 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
58 |
46 |
$2.89 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
106 |
93 |
$0.09 |
| G8482 |
Influenza immunization administered or previously received |
807 |
754 |
$0.01 |
| 90647 |
|
138 |
136 |
$0.01 |
| 90670 |
|
411 |
408 |
$0.00 |
| 90710 |
|
27 |
27 |
$0.00 |
| 90734 |
|
235 |
232 |
$0.00 |
| 90715 |
|
97 |
95 |
$0.00 |
| 3078F |
|
14 |
13 |
$0.00 |
| 90671 |
|
149 |
148 |
$0.00 |
| 99499 |
|
50 |
50 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
15 |
12 |
$0.00 |
| 90648 |
|
37 |
36 |
$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) |
234 |
229 |
$0.00 |
| 90649 |
|
72 |
72 |
$0.00 |
| 90697 |
|
117 |
117 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
216 |
210 |
$0.00 |
| 90651 |
|
82 |
79 |
$0.00 |
| 90620 |
|
101 |
101 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
41 |
41 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 3074F |
|
54 |
52 |
$0.00 |
| 3044F |
|
85 |
82 |
$0.00 |
| 1111F |
|
13 |
12 |
$0.00 |
| 90723 |
|
85 |
84 |
$0.00 |
| 90680 |
|
26 |
26 |
$0.00 |