| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,316 |
19,486 |
$1.97M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,329 |
3,111 |
$376K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,945 |
4,481 |
$322K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,976 |
2,779 |
$316K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,223 |
2,775 |
$312K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,437 |
1,314 |
$150K |
| 59410 |
|
192 |
168 |
$127K |
| 59426 |
|
1,002 |
539 |
$99K |
| 59425 |
|
921 |
672 |
$96K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
651 |
601 |
$66K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
490 |
450 |
$49K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
324 |
313 |
$36K |
| 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 |
6,372 |
5,564 |
$34K |
| 99460 |
|
383 |
346 |
$26K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
482 |
443 |
$26K |
| T1017 |
Targeted case management, each 15 minutes |
98 |
92 |
$11K |
| D0140 |
Limited oral evaluation - problem focused |
210 |
166 |
$8K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
87 |
83 |
$7K |
| 99462 |
|
175 |
135 |
$5K |
| 99383 |
|
27 |
27 |
$3K |
| 99051 |
|
189 |
174 |
$2K |
| 59430 |
|
46 |
41 |
$2K |
| D0330 |
Panoramic radiographic image |
139 |
125 |
$2K |
| 99384 |
|
19 |
19 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
106 |
104 |
$2K |
| 99201 |
|
13 |
12 |
$2K |
| 99441 |
|
118 |
96 |
$1K |
| 99464 |
|
15 |
12 |
$774.36 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
401 |
375 |
$726.19 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
31 |
26 |
$692.07 |
| 81025 |
|
1,401 |
1,149 |
$238.34 |
| 90686 |
|
1,440 |
1,339 |
$147.68 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
24 |
22 |
$123.26 |
| 90658 |
|
488 |
439 |
$119.17 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,013 |
1,788 |
$119.17 |
| 90649 |
|
86 |
81 |
$90.00 |
| D0220 |
Intraoral - periapical first radiographic image |
69 |
56 |
$79.56 |
| 81002 |
|
22 |
18 |
$18.78 |
| 90677 |
|
310 |
283 |
$0.67 |
| 90633 |
|
628 |
596 |
$0.43 |
| 90698 |
|
44 |
42 |
$0.08 |
| 90671 |
|
56 |
48 |
$0.05 |
| 90723 |
|
342 |
331 |
$0.05 |
| 90696 |
|
55 |
54 |
$0.03 |
| 90700 |
|
108 |
99 |
$0.01 |
| 96160 |
|
442 |
395 |
$0.00 |
| 92552 |
|
263 |
244 |
$0.00 |
| 90461 |
|
4,494 |
2,648 |
$0.00 |
| 1159F |
|
8,012 |
7,271 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,332 |
5,069 |
$0.00 |
| 90707 |
|
30 |
30 |
$0.00 |
| 90670 |
|
1,337 |
1,258 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
684 |
625 |
$0.00 |
| 99188 |
|
1,011 |
936 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,111 |
1,023 |
$0.00 |
| 3078F |
|
2,312 |
1,350 |
$0.00 |
| 90681 |
|
742 |
698 |
$0.00 |
| 4551F |
|
366 |
346 |
$0.00 |
| 3077F |
|
108 |
64 |
$0.00 |
| 99173 |
|
658 |
627 |
$0.00 |
| 1160F |
|
63 |
62 |
$0.00 |
| 90710 |
|
47 |
47 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
160 |
74 |
$0.00 |
| 90715 |
|
98 |
94 |
$0.00 |
| 90734 |
|
53 |
49 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
163 |
99 |
$0.00 |
| 82948 |
|
36 |
33 |
$0.00 |
| 90682 |
|
14 |
14 |
$0.00 |
| 3008F |
|
5,654 |
3,990 |
$0.00 |
| 1126F |
|
8,773 |
7,938 |
$0.00 |
| 3351F |
|
626 |
551 |
$0.00 |
| 90651 |
|
199 |
181 |
$0.00 |
| 4037F |
|
680 |
638 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
834 |
784 |
$0.00 |
| 92551 |
|
789 |
740 |
$0.00 |
| 3079F |
|
701 |
500 |
$0.00 |
| 3075F |
|
394 |
273 |
$0.00 |
| 90647 |
|
649 |
606 |
$0.00 |
| 3080F |
|
93 |
54 |
$0.00 |
| 90657 |
|
254 |
235 |
$0.00 |
| 3074F |
|
2,619 |
1,575 |
$0.00 |
| 90697 |
|
335 |
315 |
$0.00 |
| 87280 |
|
296 |
275 |
$0.00 |
| 90716 |
|
30 |
28 |
$0.00 |
| 90688 |
|
717 |
700 |
$0.00 |
| 96161 |
|
815 |
734 |
$0.00 |
| 90656 |
|
341 |
306 |
$0.00 |
| 90619 |
|
93 |
84 |
$0.00 |
| 1000F |
|
107 |
101 |
$0.00 |
| 1125F |
|
18 |
18 |
$0.00 |
| D1310 |
|
113 |
108 |
$0.00 |
| 90744 |
|
16 |
16 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
134 |
113 |
$0.00 |
| 90674 |
|
161 |
145 |
$0.00 |
| 1036F |
|
26 |
25 |
$0.00 |
| 90381 |
|
15 |
15 |
$0.00 |
| 90620 |
|
14 |
12 |
$0.00 |
| 1030F |
|
63 |
58 |
$0.00 |
| 90654 |
|
30 |
30 |
$0.00 |
| 3017F |
|
12 |
12 |
$0.00 |
| 3352F |
|
17 |
16 |
$0.00 |