| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34,631 |
30,451 |
$2.23M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41,035 |
36,636 |
$2.09M |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,767 |
3,211 |
$343K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,372 |
3,173 |
$243K |
| 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 |
4,094 |
3,122 |
$50K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,197 |
1,131 |
$45K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,589 |
2,137 |
$25K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
352 |
322 |
$23K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
160 |
152 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
209 |
198 |
$23K |
| 90686 |
|
1,690 |
1,487 |
$19K |
| 90791 |
Psychiatric diagnostic evaluation |
218 |
199 |
$18K |
| 99215 |
Prolong outpt/office vis |
204 |
173 |
$15K |
| 0012A |
|
484 |
439 |
$15K |
| 0011A |
|
522 |
472 |
$12K |
| D7140 |
Extraction, erupted tooth or exposed root |
554 |
290 |
$11K |
| 96127 |
|
2,908 |
2,590 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
151 |
146 |
$11K |
| 0064A |
|
348 |
318 |
$11K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
125 |
116 |
$10K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,420 |
1,269 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
744 |
690 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
343 |
273 |
$8K |
| D0330 |
Panoramic radiographic image |
496 |
491 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
98 |
84 |
$7K |
| 91320 |
|
77 |
66 |
$7K |
| D0140 |
Limited oral evaluation - problem focused |
746 |
720 |
$7K |
| 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 |
524 |
490 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
211 |
180 |
$5K |
| 90832 |
Psychotherapy, 30 minutes with patient |
87 |
66 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
59 |
54 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
351 |
311 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
42 |
41 |
$3K |
| 99443 |
|
47 |
43 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
224 |
168 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
28 |
27 |
$2K |
| 90756 |
|
94 |
85 |
$2K |
| 82962 |
|
988 |
871 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
436 |
359 |
$2K |
| D1110 |
Prophylaxis - adult |
77 |
73 |
$1K |
| 81003 |
|
887 |
809 |
$1K |
| 92015 |
Determination of refractive state |
231 |
196 |
$1K |
| 99406 |
|
196 |
147 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
62 |
57 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
51 |
44 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
104 |
99 |
$1K |
| 85018 |
|
490 |
423 |
$872.62 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
45 |
41 |
$860.23 |
| 90480 |
|
75 |
65 |
$800.92 |
| 82274 |
|
60 |
58 |
$673.62 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,337 |
2,017 |
$476.53 |
| 80305 |
|
60 |
46 |
$438.31 |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
70 |
58 |
$410.99 |
| 80061 |
Lipid panel |
31 |
28 |
$295.89 |
| 90670 |
|
31 |
25 |
$277.20 |
| 83655 |
|
31 |
25 |
$244.65 |
| 81025 |
|
40 |
37 |
$227.83 |
| D0220 |
Intraoral - periapical first radiographic image |
189 |
183 |
$217.95 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
166 |
147 |
$214.24 |
| 90648 |
|
13 |
13 |
$132.66 |
| 99000 |
|
134 |
116 |
$124.14 |
| 90633 |
|
14 |
13 |
$121.00 |
| 99188 |
|
15 |
12 |
$120.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
867 |
766 |
$86.40 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
290 |
241 |
$45.40 |
| 87428 |
|
15 |
13 |
$30.94 |
| G0008 |
Administration of influenza virus vaccine |
89 |
82 |
$16.07 |
| 81002 |
|
16 |
14 |
$14.95 |
| 91301 |
|
1,086 |
962 |
$6.43 |
| 91306 |
|
350 |
332 |
$1.19 |
| 90461 |
|
282 |
251 |
$0.00 |
| 99177 |
|
573 |
536 |
$0.00 |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
20 |
13 |
$0.00 |
| 91313 |
|
47 |
46 |
$0.00 |
| 2014F |
|
12 |
12 |
$0.00 |
| 36416 |
|
121 |
106 |
$0.00 |
| 0134A |
|
47 |
46 |
$0.00 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
24 |
24 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$0.00 |
| D0170 |
|
13 |
12 |
$0.00 |