| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,192 |
30,439 |
$72K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,524 |
6,164 |
$69K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
7,726 |
6,670 |
$58K |
| 0002A |
|
1,014 |
1,008 |
$33K |
| 90832 |
Psychotherapy, 30 minutes with patient |
8,469 |
7,176 |
$29K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,380 |
2,030 |
$29K |
| 0001A |
|
960 |
944 |
$27K |
| 99442 |
|
4,551 |
4,015 |
$27K |
| 0012A |
|
734 |
713 |
$26K |
| 0004A |
|
817 |
811 |
$26K |
| 0011A |
|
692 |
668 |
$25K |
| 90791 |
Psychiatric diagnostic evaluation |
1,980 |
1,828 |
$22K |
| 90686 |
|
4,005 |
3,547 |
$17K |
| 0064A |
|
389 |
385 |
$15K |
| 99441 |
|
7,023 |
5,452 |
$13K |
| 0071A |
|
259 |
259 |
$10K |
| 0072A |
|
260 |
260 |
$10K |
| D1999 |
|
639 |
498 |
$9K |
| 90656 |
|
773 |
368 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
601 |
524 |
$8K |
| 97802 |
|
547 |
442 |
$7K |
| 90651 |
|
621 |
549 |
$7K |
| 90715 |
|
611 |
511 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,661 |
6,271 |
$6K |
| 90750 |
|
39 |
39 |
$5K |
| 90670 |
|
329 |
316 |
$4K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
906 |
781 |
$4K |
| 93000 |
|
1,527 |
1,347 |
$4K |
| 97803 |
|
376 |
317 |
$3K |
| 96127 |
|
22,788 |
19,327 |
$2K |
| D1110 |
Prophylaxis - adult |
99 |
98 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
138 |
138 |
$2K |
| 0124A |
|
108 |
106 |
$2K |
| 80061 |
Lipid panel |
156 |
155 |
$2K |
| 90734 |
|
437 |
364 |
$2K |
| 96160 |
|
38 |
38 |
$1K |
| 0054A |
|
75 |
75 |
$1K |
| 0134A |
|
32 |
31 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
404 |
336 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
160 |
159 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
123 |
123 |
$914.18 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
38 |
37 |
$788.42 |
| 87390 |
|
45 |
45 |
$756.80 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
80 |
80 |
$653.22 |
| 82274 |
|
39 |
38 |
$564.99 |
| 0003A |
|
15 |
15 |
$520.00 |
| 0013A |
|
13 |
13 |
$520.00 |
| 96116 |
|
74 |
60 |
$502.40 |
| 84460 |
|
104 |
104 |
$491.41 |
| 84450 |
|
103 |
103 |
$474.56 |
| 81000 |
|
178 |
175 |
$462.85 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$411.58 |
| 90688 |
|
203 |
85 |
$374.64 |
| 99201 |
|
36 |
36 |
$363.98 |
| 90732 |
|
15 |
13 |
$342.63 |
| 86592 |
|
88 |
88 |
$338.00 |
| 80053 |
Comprehensive metabolic panel |
44 |
44 |
$290.06 |
| 90834 |
Psychotherapy, 45 minutes with patient |
256 |
229 |
$237.05 |
| D1208 |
Topical application of fluoride, excluding varnish |
15 |
15 |
$210.00 |
| 82044 |
|
70 |
70 |
$208.78 |
| 0094A |
|
14 |
14 |
$200.00 |
| 91307 |
|
556 |
514 |
$200.00 |
| 84153 |
|
12 |
12 |
$194.26 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$169.62 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
13 |
13 |
$167.97 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
145 |
104 |
$120.00 |
| 86580 |
|
150 |
140 |
$107.17 |
| 90658 |
|
53 |
52 |
$91.74 |
| 99421 |
|
30 |
30 |
$76.23 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
27 |
26 |
$75.00 |
| G0008 |
Administration of influenza virus vaccine |
456 |
363 |
$62.32 |
| 82947 |
|
13 |
13 |
$39.47 |
| 90461 |
|
29 |
17 |
$36.00 |
| 99422 |
|
51 |
44 |
$21.77 |
| 99368 |
|
1,516 |
1,386 |
$20.00 |
| 91306 |
|
389 |
385 |
$0.01 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,618 |
2,283 |
$0.00 |
| 3017F |
|
513 |
410 |
$0.00 |
| 3351F |
|
2,458 |
2,303 |
$0.00 |
| 1220F |
|
13,046 |
10,854 |
$0.00 |
| 3079F |
|
1,700 |
1,260 |
$0.00 |
| 1170F |
|
319 |
258 |
$0.00 |
| 3074F |
|
1,717 |
1,254 |
$0.00 |
| 4010F |
|
1,675 |
1,159 |
$0.00 |
| 3075F |
|
849 |
568 |
$0.00 |
| 1126F |
|
159 |
121 |
$0.00 |
| 1101F |
|
209 |
164 |
$0.00 |
| 91301 |
|
1,461 |
1,371 |
$0.00 |
| 3354F |
|
18 |
14 |
$0.00 |
| 3014F |
|
200 |
183 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
389 |
383 |
$0.00 |
| 90677 |
|
34 |
12 |
$0.00 |
| 1157F |
|
70 |
50 |
$0.00 |
| 90698 |
|
20 |
20 |
$0.00 |
| 91305 |
|
75 |
75 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
13 |
13 |
$0.00 |
| 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 |
14 |
13 |
$0.00 |
| 90716 |
|
55 |
55 |
$0.00 |
| 90744 |
|
13 |
13 |
$0.00 |
| 90620 |
|
15 |
15 |
$0.00 |
| 91309 |
|
14 |
14 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
146 |
127 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
2,751 |
2,410 |
$0.00 |
| 91300 |
|
2,910 |
2,769 |
$0.00 |
| 1160F |
|
396 |
309 |
$0.00 |
| 3078F |
|
3,105 |
2,258 |
$0.00 |
| 99173 |
|
402 |
238 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
187 |
187 |
$0.00 |
| 90707 |
|
51 |
51 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
381 |
314 |
$0.00 |
| 3077F |
|
1,144 |
861 |
$0.00 |
| 3725F |
|
618 |
600 |
$0.00 |
| 90621 |
|
24 |
24 |
$0.00 |
| 1159F |
|
397 |
310 |
$0.00 |
| 94070 |
|
21 |
14 |
$0.00 |
| 1158F |
|
70 |
50 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
386 |
284 |
$0.00 |
| 90633 |
|
97 |
94 |
$0.00 |
| 1100F |
|
14 |
13 |
$0.00 |
| 3089F |
|
63 |
53 |
$0.00 |
| 90714 |
|
13 |
12 |
$0.00 |
| 91312 |
|
108 |
106 |
$0.00 |
| 91313 |
|
32 |
31 |
$0.00 |
| 99348 |
|
17 |
13 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$0.00 |
| 94726 |
|
21 |
14 |
$0.00 |
| 90648 |
|
16 |
16 |
$0.00 |
| 94729 |
|
21 |
14 |
$0.00 |