| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,162 |
8,647 |
$874K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,767 |
2,204 |
$245K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
365 |
339 |
$45K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
332 |
296 |
$36K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
346 |
249 |
$31K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
158 |
153 |
$18K |
| 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 |
1,637 |
1,323 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
53 |
45 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
34 |
32 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31 |
26 |
$3K |
| 99441 |
|
165 |
78 |
$2K |
| 99442 |
|
21 |
16 |
$865.27 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
94 |
71 |
$858.30 |
| 83655 |
|
628 |
515 |
$680.60 |
| 81000 |
|
597 |
445 |
$271.16 |
| 0002A |
|
71 |
65 |
$251.09 |
| 90649 |
|
26 |
22 |
$218.00 |
| 0072A |
|
70 |
67 |
$215.22 |
| 0071A |
|
72 |
68 |
$179.35 |
| 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 |
47 |
32 |
$94.33 |
| 0012A |
|
19 |
16 |
$71.74 |
| 0001A |
|
37 |
35 |
$71.74 |
| 0011A |
|
16 |
14 |
$35.87 |
| 36415 |
Collection of venous blood by venipuncture |
229 |
202 |
$8.00 |
| 81025 |
|
348 |
280 |
$4.92 |
| 81002 |
|
147 |
112 |
$4.30 |
| 97802 |
|
606 |
501 |
$0.00 |
| 90732 |
|
148 |
139 |
$0.00 |
| 3008F |
|
2,105 |
1,644 |
$0.00 |
| 3074F |
|
1,091 |
866 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
125 |
111 |
$0.00 |
| 85018 |
|
1,104 |
944 |
$0.00 |
| 90723 |
|
280 |
219 |
$0.00 |
| 3075F |
|
110 |
82 |
$0.00 |
| 90647 |
|
137 |
128 |
$0.00 |
| 1125F |
|
173 |
146 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
189 |
183 |
$0.00 |
| 1126F |
|
1,153 |
876 |
$0.00 |
| 90680 |
|
179 |
171 |
$0.00 |
| 36416 |
|
50 |
39 |
$0.00 |
| 92551 |
|
389 |
348 |
$0.00 |
| 3079F |
|
326 |
246 |
$0.00 |
| 99000 |
|
306 |
265 |
$0.00 |
| 96150 |
|
82 |
52 |
$0.00 |
| 90716 |
|
25 |
24 |
$0.00 |
| 1000F |
|
58 |
44 |
$0.00 |
| 90657 |
|
29 |
25 |
$0.00 |
| 82270 |
|
19 |
17 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
16 |
13 |
$0.00 |
| 1160F |
|
1,609 |
1,208 |
$0.00 |
| 1159F |
|
1,600 |
1,199 |
$0.00 |
| 3078F |
|
909 |
713 |
$0.00 |
| 90670 |
|
72 |
66 |
$0.00 |
| 99173 |
|
1,326 |
1,000 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
96 |
83 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
151 |
129 |
$0.00 |
| 3725F |
|
1,200 |
882 |
$0.00 |
| 90700 |
|
18 |
13 |
$0.00 |
| 90658 |
|
82 |
77 |
$0.00 |
| 82947 |
|
13 |
12 |
$0.00 |
| 90633 |
|
117 |
104 |
$0.00 |
| 90707 |
|
13 |
12 |
$0.00 |
| 3077F |
|
64 |
40 |
$0.00 |
| 96160 |
|
85 |
65 |
$0.00 |
| 90734 |
|
19 |
15 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
19 |
12 |
$0.00 |
| 90715 |
|
19 |
15 |
$0.00 |