| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,241 |
25,611 |
$14.64M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,164 |
19,411 |
$11.60M |
| 90837 |
Psychotherapy, 53 minutes with patient |
8,065 |
4,562 |
$3.59M |
| 99215 |
Prolong outpt/office vis |
3,516 |
3,036 |
$1.44M |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,586 |
1,812 |
$1.12M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,505 |
1,425 |
$727K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,472 |
1,217 |
$655K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
2,255 |
957 |
$639K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,068 |
1,037 |
$606K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,297 |
4,973 |
$499K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
807 |
793 |
$486K |
| 97803 |
|
844 |
740 |
$471K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
798 |
730 |
$446K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
702 |
673 |
$407K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
856 |
752 |
$384K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
3,172 |
1,475 |
$347K |
| 97802 |
|
668 |
603 |
$345K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,752 |
1,507 |
$259K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
324 |
319 |
$209K |
| V2020 |
Frames, purchases |
807 |
788 |
$198K |
| 0011A |
|
323 |
317 |
$153K |
| 0012A |
|
296 |
277 |
$139K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,758 |
1,684 |
$127K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
309 |
282 |
$116K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
171 |
168 |
$113K |
| 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 |
2,391 |
1,688 |
$87K |
| 0124A |
|
163 |
153 |
$87K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
996 |
860 |
$85K |
| 90688 |
|
529 |
510 |
$81K |
| 0002A |
|
172 |
169 |
$75K |
| 0013A |
|
140 |
139 |
$74K |
| 0001A |
|
177 |
174 |
$73K |
| 90791 |
Psychiatric diagnostic evaluation |
124 |
122 |
$73K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
305 |
291 |
$63K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,229 |
597 |
$62K |
| 91320 |
|
226 |
212 |
$62K |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
471 |
381 |
$47K |
| 97162 |
|
150 |
142 |
$45K |
| 86580 |
|
97 |
94 |
$43K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
63 |
63 |
$43K |
| 90658 |
|
268 |
264 |
$42K |
| 99484 |
|
71 |
54 |
$42K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
426 |
339 |
$40K |
| H0031 |
Mental health assessment, by non-physician |
92 |
75 |
$37K |
| 80305 |
|
460 |
358 |
$35K |
| 90651 |
|
287 |
280 |
$21K |
| D0330 |
Panoramic radiographic image |
52 |
49 |
$20K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
95 |
51 |
$19K |
| T1015 |
Clinic visit/encounter, all-inclusive |
238 |
131 |
$19K |
| 99347 |
|
77 |
33 |
$18K |
| 90480 |
|
219 |
210 |
$18K |
| 0071A |
|
38 |
35 |
$18K |
| 0003A |
|
29 |
29 |
$17K |
| 99487 |
Ccm add 20min |
49 |
40 |
$17K |
| 0064A |
|
27 |
27 |
$15K |
| 99381 |
|
35 |
33 |
$15K |
| 90647 |
|
92 |
92 |
$14K |
| 99382 |
|
29 |
28 |
$13K |
| D0140 |
Limited oral evaluation - problem focused |
53 |
46 |
$13K |
| 90686 |
|
1,387 |
1,335 |
$13K |
| 90715 |
|
146 |
144 |
$12K |
| 0072A |
|
14 |
13 |
$8K |
| 90677 |
|
170 |
166 |
$8K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
66 |
61 |
$8K |
| 99406 |
|
178 |
163 |
$7K |
| 99442 |
|
17 |
17 |
$7K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
433 |
403 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
123 |
123 |
$7K |
| 99383 |
|
16 |
16 |
$6K |
| 36416 |
|
53 |
52 |
$6K |
| 97163 |
|
13 |
13 |
$6K |
| D1110 |
Prophylaxis - adult |
15 |
15 |
$5K |
| D1120 |
Prophylaxis - child |
12 |
12 |
$4K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
19 |
19 |
$4K |
| 90674 |
|
119 |
112 |
$4K |
| 90670 |
|
477 |
466 |
$4K |
| 92342 |
|
110 |
102 |
$3K |
| 90461 |
|
53 |
53 |
$2K |
| 90734 |
|
63 |
63 |
$2K |
| 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 |
111 |
82 |
$2K |
| 80053 |
Comprehensive metabolic panel |
70 |
65 |
$2K |
| 81003 |
|
17 |
17 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
19 |
19 |
$2K |
| 90633 |
|
116 |
116 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
128 |
115 |
$1K |
| 97760 |
|
57 |
44 |
$1K |
| 91301 |
|
906 |
864 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
106 |
102 |
$867.53 |
| D0274 |
Bitewings - four radiographic images |
18 |
18 |
$854.00 |
| 96127 |
|
429 |
418 |
$729.72 |
| 73630 |
|
17 |
12 |
$719.00 |
| 90723 |
|
262 |
259 |
$719.00 |
| 90474 |
|
13 |
13 |
$654.00 |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
70 |
59 |
$640.00 |
| 80061 |
Lipid panel |
12 |
12 |
$427.00 |
| 92015 |
Determination of refractive state |
1,313 |
1,245 |
$265.00 |
| 99407 |
|
375 |
292 |
$15.43 |
| G0008 |
Administration of influenza virus vaccine |
16 |
13 |
$0.54 |
| 90648 |
|
424 |
415 |
$0.00 |
| 91312 |
|
161 |
152 |
$0.00 |
| 91300 |
|
451 |
422 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
285 |
285 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
111 |
95 |
$0.00 |
| V2199 |
Not otherwise classified, single vision lens |
175 |
175 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 91307 |
|
69 |
60 |
$0.00 |
| 91305 |
|
12 |
12 |
$0.00 |
| D1330 |
|
86 |
81 |
$0.00 |
| 90680 |
|
104 |
104 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
86 |
80 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
92 |
72 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
25 |
25 |
$0.00 |
| 91306 |
|
12 |
12 |
$0.00 |
| 92587 |
|
14 |
14 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
25 |
25 |
$0.00 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
77 |
73 |
$0.00 |
| V2781 |
Progressive lens, per lens |
42 |
42 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$0.00 |