| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,689 |
25,375 |
$6.12M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,338 |
12,930 |
$2.76M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,628 |
1,514 |
$363K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,073 |
940 |
$217K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
762 |
733 |
$178K |
| 90834 |
Psychotherapy, 45 minutes with patient |
657 |
478 |
$145K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
467 |
377 |
$104K |
| 99215 |
Prolong outpt/office vis |
401 |
359 |
$69K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
198 |
191 |
$46K |
| 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 |
416 |
381 |
$13K |
| X5622 |
|
224 |
161 |
$12K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,059 |
989 |
$11K |
| 99188 |
|
641 |
593 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
57 |
54 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
8,987 |
8,007 |
$5K |
| 0240U |
|
774 |
735 |
$4K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
2,091 |
1,938 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
15 |
$3K |
| 90677 |
|
40 |
35 |
$2K |
| 80053 |
Comprehensive metabolic panel |
1,800 |
1,690 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
711 |
663 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,288 |
2,136 |
$1K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
39 |
36 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,663 |
2,547 |
$935.38 |
| 90686 |
|
1,763 |
1,605 |
$312.78 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
201 |
191 |
$174.79 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,231 |
1,973 |
$118.66 |
| 71046 |
Radiologic examination, chest; 2 views |
37 |
37 |
$62.97 |
| 81003 |
|
383 |
360 |
$27.62 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
67 |
60 |
$25.80 |
| 85027 |
|
376 |
351 |
$19.51 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,139 |
938 |
$9.94 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
89 |
80 |
$0.00 |
| 90697 |
|
53 |
52 |
$0.00 |
| 90647 |
|
142 |
131 |
$0.00 |
| 90680 |
|
122 |
114 |
$0.00 |
| 36416 |
|
147 |
111 |
$0.00 |
| 90723 |
|
108 |
103 |
$0.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
121 |
113 |
$0.00 |
| 90651 |
|
89 |
88 |
$0.00 |
| 90656 |
|
274 |
274 |
$0.00 |
| 85018 |
|
136 |
108 |
$0.00 |
| 90670 |
|
250 |
227 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,415 |
2,346 |
$0.00 |
| 90633 |
|
105 |
105 |
$0.00 |
| 90461 |
|
1,041 |
1,013 |
$0.00 |
| 90710 |
|
96 |
82 |
$0.00 |
| 90715 |
|
83 |
83 |
$0.00 |
| 90671 |
|
170 |
167 |
$0.00 |
| 90473 |
|
71 |
66 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
13 |
13 |
$0.00 |
| 90734 |
|
44 |
43 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
12 |
12 |
$0.00 |