| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,909 |
15,626 |
$1.45M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,328 |
2,279 |
$180K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,530 |
2,352 |
$173K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,335 |
1,238 |
$134K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,189 |
687 |
$117K |
| 3008F |
|
24,035 |
20,954 |
$36K |
| 90670 |
|
1,479 |
1,431 |
$29K |
| 90686 |
|
2,359 |
2,294 |
$29K |
| 59426 |
|
35 |
33 |
$28K |
| 90677 |
|
200 |
191 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
285 |
283 |
$22K |
| 99381 |
|
263 |
257 |
$19K |
| 59430 |
|
63 |
57 |
$15K |
| 92551 |
|
1,301 |
1,272 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
133 |
124 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,669 |
5,429 |
$10K |
| 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 |
617 |
527 |
$9K |
| 90834 |
Psychotherapy, 45 minutes with patient |
91 |
57 |
$7K |
| 90461 |
|
3,196 |
3,041 |
$7K |
| 90697 |
|
93 |
90 |
$7K |
| 90648 |
|
629 |
602 |
$6K |
| 90681 |
|
413 |
394 |
$6K |
| 99000 |
|
4,786 |
4,154 |
$6K |
| 90633 |
|
377 |
368 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
3,680 |
3,204 |
$4K |
| 90723 |
|
316 |
305 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
506 |
492 |
$3K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
186 |
52 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
247 |
157 |
$3K |
| 0012A |
|
72 |
70 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
17 |
15 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
584 |
561 |
$2K |
| 99173 |
|
946 |
931 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24 |
24 |
$2K |
| 90651 |
|
36 |
36 |
$2K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
97 |
27 |
$2K |
| 0011A |
|
74 |
71 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
157 |
157 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
27 |
27 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
53 |
36 |
$1K |
| 99383 |
|
15 |
15 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
12 |
12 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
14 |
$1K |
| 87807 |
|
80 |
70 |
$943.58 |
| 97014 |
|
93 |
26 |
$877.22 |
| 99177 |
|
203 |
203 |
$859.47 |
| 87428 |
|
28 |
26 |
$814.39 |
| 90685 |
|
60 |
59 |
$701.42 |
| 90715 |
|
28 |
28 |
$681.10 |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
38 |
37 |
$675.84 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
47 |
45 |
$610.53 |
| 90734 |
|
12 |
12 |
$589.48 |
| 0071A |
|
12 |
12 |
$480.00 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
37 |
12 |
$424.56 |
| 92587 |
|
44 |
44 |
$295.04 |
| 99188 |
|
12 |
12 |
$249.48 |
| 90744 |
|
14 |
13 |
$143.00 |
| 81025 |
|
27 |
24 |
$112.42 |
| 80061 |
Lipid panel |
222 |
218 |
$93.73 |
| 36416 |
|
153 |
148 |
$14.07 |
| 84439 |
|
13 |
12 |
$0.00 |
| 91307 |
|
26 |
26 |
$0.00 |
| 76801 |
|
113 |
113 |
$0.00 |