| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,147 |
15,296 |
$435K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,517 |
7,032 |
$220K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,378 |
1,276 |
$100K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,057 |
1,032 |
$83K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,701 |
1,475 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
784 |
723 |
$22K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,755 |
1,538 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
240 |
234 |
$16K |
| 87428 |
|
777 |
622 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,956 |
1,897 |
$8K |
| 90670 |
|
608 |
593 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,110 |
1,073 |
$7K |
| 99188 |
|
847 |
830 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,617 |
1,587 |
$7K |
| 99442 |
|
424 |
388 |
$5K |
| 90837 |
Psychotherapy, 53 minutes with patient |
37 |
27 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
54 |
52 |
$3K |
| 97802 |
|
229 |
219 |
$3K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
50 |
50 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
747 |
444 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
64 |
63 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
168 |
149 |
$839.34 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
13 |
13 |
$724.85 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
101 |
56 |
$670.91 |
| T1015 |
Clinic visit/encounter, all-inclusive |
30 |
28 |
$660.00 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
36 |
27 |
$659.88 |
| 90686 |
|
647 |
626 |
$643.33 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
149 |
107 |
$517.00 |
| 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 |
120 |
79 |
$400.50 |
| 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 |
4,423 |
3,165 |
$235.15 |
| 85018 |
|
291 |
276 |
$231.11 |
| 36415 |
Collection of venous blood by venipuncture |
295 |
279 |
$140.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
23 |
17 |
$114.12 |
| 83655 |
|
15 |
14 |
$68.77 |
| 96160 |
|
4,778 |
4,069 |
$57.00 |
| 87807 |
|
12 |
12 |
$36.22 |
| 36416 |
|
122 |
121 |
$24.00 |
| 90723 |
|
109 |
106 |
$20.00 |
| 90461 |
|
269 |
266 |
$20.00 |
| 90473 |
|
26 |
26 |
$20.00 |
| 96127 |
|
607 |
547 |
$6.34 |
| 1170F |
|
1,052 |
987 |
$0.09 |
| 3008F |
|
10,250 |
8,620 |
$0.04 |
| 1160F |
|
7,740 |
6,822 |
$0.04 |
| 4010F |
|
168 |
151 |
$0.02 |
| 1036F |
|
2,504 |
2,166 |
$0.02 |
| 1159F |
|
7,234 |
6,371 |
$0.02 |
| 3074F |
|
5,840 |
5,260 |
$0.01 |
| 1101F |
|
680 |
632 |
$0.00 |
| 3079F |
|
278 |
204 |
$0.00 |
| 90647 |
|
146 |
145 |
$0.00 |
| 92551 |
|
1,640 |
1,476 |
$0.00 |
| 99000 |
|
1,584 |
1,420 |
$0.00 |
| 1111F |
|
79 |
66 |
$0.00 |
| 1126F |
|
696 |
620 |
$0.00 |
| 90680 |
|
140 |
137 |
$0.00 |
| 1034F |
|
299 |
262 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
52 |
43 |
$0.00 |
| 1125F |
|
111 |
104 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
67 |
58 |
$0.00 |
| 1157F |
|
15 |
15 |
$0.00 |
| 90697 |
|
52 |
52 |
$0.00 |
| 90677 |
|
18 |
18 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
16 |
13 |
$0.00 |
| 90651 |
|
22 |
20 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| 90656 |
|
16 |
16 |
$0.00 |
| 99173 |
|
1,558 |
1,415 |
$0.00 |
| 3078F |
|
5,596 |
4,672 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
47 |
41 |
$0.00 |
| 4013F |
|
318 |
277 |
$0.00 |
| 99072 |
|
1,707 |
1,503 |
$0.00 |
| 99177 |
|
455 |
416 |
$0.00 |
| 1158F |
|
83 |
80 |
$0.00 |
| 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 |
119 |
103 |
$0.00 |
| 3077F |
|
61 |
39 |
$0.00 |
| 3725F |
|
570 |
511 |
$0.00 |
| 90633 |
|
39 |
38 |
$0.00 |
| 99401 |
|
107 |
101 |
$0.00 |
| 90707 |
|
27 |
27 |
$0.00 |
| 90734 |
|
14 |
13 |
$0.00 |
| 99408 |
|
13 |
13 |
$0.00 |