| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
149,645 |
130,546 |
$30.39M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
83,600 |
75,766 |
$15.46M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,190 |
9,900 |
$2.11M |
| 90834 |
Psychotherapy, 45 minutes with patient |
14,467 |
10,626 |
$1.89M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,870 |
5,590 |
$1.38M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,364 |
3,265 |
$793K |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,363 |
3,385 |
$611K |
| D0999 |
Unspecified diagnostic procedure, by report |
2,251 |
1,721 |
$488K |
| 99215 |
Prolong outpt/office vis |
2,275 |
2,033 |
$417K |
| 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 |
11,966 |
9,899 |
$229K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
803 |
768 |
$199K |
| 90791 |
Psychiatric diagnostic evaluation |
1,369 |
1,213 |
$189K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,495 |
1,346 |
$187K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,241 |
1,209 |
$128K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
657 |
622 |
$121K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
463 |
428 |
$84K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
215 |
211 |
$53K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
881 |
758 |
$52K |
| 99381 |
|
222 |
220 |
$48K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
34,741 |
33,157 |
$47K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
162 |
154 |
$38K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
99 |
98 |
$23K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,367 |
1,104 |
$22K |
| D1110 |
Prophylaxis - adult |
238 |
238 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
8,519 |
7,695 |
$21K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
493 |
387 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
80 |
74 |
$18K |
| 0002A |
|
423 |
409 |
$17K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
56,521 |
51,627 |
$15K |
| 0124A |
|
407 |
296 |
$13K |
| D0220 |
Intraoral - periapical first radiographic image |
431 |
417 |
$13K |
| 99383 |
|
44 |
43 |
$13K |
| 90837 |
Psychotherapy, 53 minutes with patient |
64 |
58 |
$10K |
| 99307 |
|
146 |
104 |
$9K |
| 99382 |
|
37 |
34 |
$9K |
| D0120 |
Periodic oral evaluation - established patient |
160 |
157 |
$8K |
| 0001A |
|
202 |
187 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
83 |
82 |
$7K |
| D4910 |
|
52 |
39 |
$7K |
| 76830 |
Ultrasound, transvaginal |
57 |
53 |
$6K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
36 |
24 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
138 |
133 |
$6K |
| 0071A |
|
229 |
134 |
$5K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
56 |
25 |
$5K |
| 0072A |
|
199 |
118 |
$5K |
| 59430 |
|
15 |
15 |
$5K |
| 0003A |
|
242 |
144 |
$4K |
| D1120 |
Prophylaxis - child |
64 |
60 |
$4K |
| 99310 |
Prolong nursin fac eval 15m |
69 |
53 |
$4K |
| 99407 |
|
7,482 |
5,691 |
$4K |
| 99402 |
|
63 |
48 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
43 |
43 |
$3K |
| 0013A |
|
178 |
98 |
$3K |
| 90686 |
|
1,936 |
1,845 |
$3K |
| 90651 |
|
246 |
236 |
$3K |
| 90677 |
|
532 |
515 |
$3K |
| D1206 |
Topical application of fluoride varnish |
64 |
60 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
114 |
110 |
$3K |
| 11981 |
|
14 |
12 |
$2K |
| D0274 |
Bitewings - four radiographic images |
37 |
37 |
$2K |
| 90670 |
|
2,181 |
2,121 |
$2K |
| 11750 |
|
15 |
12 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
10,697 |
10,078 |
$2K |
| 99306 |
Prolong nursin fac eval 15m |
52 |
49 |
$2K |
| 0011A |
|
61 |
61 |
$2K |
| 90619 |
|
146 |
139 |
$2K |
| 0012A |
|
54 |
54 |
$2K |
| 90710 |
|
391 |
376 |
$2K |
| 20553 |
|
19 |
12 |
$2K |
| 59025 |
Fetal non-stress test |
186 |
125 |
$1K |
| 90688 |
|
6,035 |
5,825 |
$1K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
167 |
156 |
$1K |
| 99401 |
|
76 |
64 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
20 |
17 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,490 |
1,418 |
$705.77 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,995 |
3,897 |
$674.58 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
3,107 |
2,784 |
$670.59 |
| 90633 |
|
516 |
497 |
$633.15 |
| 0053A |
|
30 |
21 |
$555.93 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
2,449 |
2,370 |
$513.55 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
56 |
36 |
$506.07 |
| 81003 |
|
36,786 |
28,417 |
$447.72 |
| 99406 |
|
1,269 |
1,158 |
$447.40 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
30 |
24 |
$447.06 |
| 90682 |
|
4,773 |
4,624 |
$432.52 |
| 81025 |
|
2,612 |
2,236 |
$284.33 |
| 90474 |
|
771 |
748 |
$218.05 |
| 90680 |
|
823 |
790 |
$204.00 |
| 90715 |
|
266 |
260 |
$164.52 |
| 90656 |
|
40 |
40 |
$141.18 |
| 90734 |
|
16 |
14 |
$122.31 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,283 |
2,059 |
$28.76 |
| 91320 |
|
166 |
163 |
$28.09 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,523 |
2,430 |
$21.95 |
| 90648 |
|
447 |
437 |
$21.74 |
| 90658 |
|
549 |
543 |
$15.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,195 |
1,028 |
$10.49 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
327 |
296 |
$1.73 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,627 |
1,541 |
$0.26 |
| 82962 |
|
1,725 |
1,551 |
$0.00 |
| 0501F |
|
9,480 |
7,306 |
$0.00 |
| 90723 |
|
255 |
251 |
$0.00 |
| 3008F |
|
4,192 |
3,752 |
$0.00 |
| 90697 |
|
313 |
300 |
$0.00 |
| 90698 |
|
27 |
24 |
$0.00 |
| 20610 |
|
13 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
822 |
805 |
$0.00 |
| 85018 |
|
52 |
50 |
$0.00 |
| 87807 |
|
78 |
75 |
$0.00 |
| 0503F |
|
104 |
99 |
$0.00 |
| 90657 |
|
56 |
55 |
$0.00 |
| 90673 |
|
110 |
110 |
$0.00 |
| 91307 |
|
24 |
24 |
$0.00 |
| 0500F |
|
54 |
53 |
$0.00 |
| 90480 |
|
159 |
156 |
$0.00 |
| 86580 |
|
172 |
104 |
$0.00 |
| 90696 |
|
46 |
45 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
18 |
14 |
$0.00 |
| 80305 |
|
166 |
99 |
$0.00 |
| 0502F |
|
1,540 |
1,199 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
293 |
290 |
$0.00 |
| 99080 |
|
30 |
25 |
$0.00 |
| 90681 |
|
28 |
27 |
$0.00 |
| 90662 |
|
257 |
234 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
46 |
41 |
$0.00 |
| 99173 |
|
167 |
167 |
$0.00 |
| 90473 |
|
32 |
28 |
$0.00 |
| 90687 |
|
13 |
13 |
$0.00 |