| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,576 |
19,406 |
$654K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,654 |
7,553 |
$402K |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,168 |
1,821 |
$191K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,975 |
1,872 |
$141K |
| 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 |
7,461 |
6,693 |
$93K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,257 |
1,031 |
$48K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
641 |
547 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,705 |
1,504 |
$32K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,509 |
1,005 |
$32K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
438 |
399 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
410 |
346 |
$27K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
571 |
465 |
$12K |
| 90836 |
|
343 |
303 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
270 |
229 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
152 |
121 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
191 |
174 |
$11K |
| 82948 |
|
5,130 |
4,537 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,074 |
4,473 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
85 |
68 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,256 |
1,027 |
$6K |
| 90686 |
|
949 |
796 |
$6K |
| 92551 |
|
695 |
556 |
$5K |
| 36416 |
|
4,794 |
4,360 |
$4K |
| 90838 |
|
85 |
51 |
$3K |
| G0008 |
Administration of influenza virus vaccine |
707 |
592 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
283 |
253 |
$2K |
| 99173 |
|
579 |
472 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
72 |
56 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
36 |
27 |
$2K |
| 69210 |
|
58 |
50 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
194 |
87 |
$2K |
| 96127 |
|
412 |
331 |
$2K |
| 0012A |
|
34 |
34 |
$1K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
57 |
57 |
$1K |
| 81003 |
|
1,283 |
1,077 |
$1K |
| 99215 |
Prolong outpt/office vis |
17 |
13 |
$927.26 |
| 90791 |
Psychiatric diagnostic evaluation |
34 |
16 |
$875.02 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
15 |
$785.29 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
29 |
25 |
$735.02 |
| 99177 |
|
115 |
84 |
$633.58 |
| 90656 |
|
61 |
52 |
$626.12 |
| 80061 |
Lipid panel |
380 |
321 |
$623.64 |
| 96160 |
|
103 |
83 |
$621.62 |
| 3045F |
|
560 |
513 |
$617.99 |
| 0011A |
|
26 |
18 |
$580.30 |
| 3074F |
|
3,487 |
3,063 |
$560.02 |
| 3078F |
|
3,514 |
3,069 |
$540.02 |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
12 |
12 |
$520.80 |
| 3046F |
|
1,033 |
944 |
$490.00 |
| 1160F |
|
228 |
216 |
$470.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
54 |
39 |
$464.05 |
| 3079F |
|
1,436 |
1,273 |
$440.00 |
| 3077F |
|
963 |
824 |
$340.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
21 |
12 |
$324.21 |
| 83655 |
|
32 |
30 |
$257.64 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
21 |
12 |
$237.88 |
| 88738 |
|
70 |
56 |
$235.32 |
| 36415 |
Collection of venous blood by venipuncture |
297 |
257 |
$221.38 |
| 90670 |
|
204 |
186 |
$220.00 |
| 90461 |
|
558 |
453 |
$135.60 |
| 71046 |
Radiologic examination, chest; 2 views |
29 |
24 |
$117.74 |
| 96161 |
|
17 |
14 |
$110.60 |
| 3075F |
|
494 |
441 |
$110.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
16 |
12 |
$85.75 |
| 80305 |
|
23 |
13 |
$74.80 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
73 |
60 |
$62.88 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
19 |
16 |
$60.00 |
| 1159F |
|
38 |
37 |
$60.00 |
| 82044 |
|
21 |
13 |
$55.16 |
| 3044F |
|
196 |
188 |
$50.00 |
| J1071 |
Injection, testosterone cypionate, 1 mg |
17 |
13 |
$47.20 |
| 91301 |
|
81 |
73 |
$40.00 |
| 90647 |
|
136 |
125 |
$34.80 |
| 3051F |
|
92 |
84 |
$30.00 |
| 3008F |
|
54 |
53 |
$30.00 |
| 82570 |
|
21 |
13 |
$27.59 |
| 80053 |
Comprehensive metabolic panel |
44 |
40 |
$13.97 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
13 |
13 |
$0.00 |
| 90633 |
|
59 |
51 |
$0.00 |
| 99497 |
|
17 |
15 |
$0.00 |
| 90707 |
|
28 |
24 |
$0.00 |
| 90681 |
|
15 |
15 |
$0.00 |
| 90723 |
|
116 |
108 |
$0.00 |
| 1126F |
|
941 |
853 |
$0.00 |
| 1125F |
|
276 |
237 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
13 |
$0.00 |
| 3052F |
|
178 |
156 |
$0.00 |
| 90619 |
|
14 |
13 |
$0.00 |
| 90674 |
|
13 |
13 |
$0.00 |
| 90716 |
|
14 |
13 |
$0.00 |