| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,422 |
20,632 |
$4.82M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,784 |
8,008 |
$1.98M |
| 90834 |
Psychotherapy, 45 minutes with patient |
8,330 |
5,243 |
$1.78M |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,786 |
3,739 |
$902K |
| 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 |
5,020 |
3,485 |
$420K |
| D9999 |
Unspecified adjunctive procedure, by report |
1,603 |
1,418 |
$367K |
| 90837 |
Psychotherapy, 53 minutes with patient |
870 |
573 |
$175K |
| 99215 |
Prolong outpt/office vis |
769 |
719 |
$147K |
| D0140 |
Limited oral evaluation - problem focused |
613 |
580 |
$139K |
| 97803 |
|
728 |
677 |
$61K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
1,596 |
907 |
$55K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
197 |
187 |
$53K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
187 |
186 |
$50K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
207 |
185 |
$49K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
189 |
177 |
$46K |
| 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 |
291 |
267 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
138 |
137 |
$40K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
162 |
161 |
$37K |
| 90791 |
Psychiatric diagnostic evaluation |
150 |
141 |
$27K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
111 |
109 |
$24K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
79 |
79 |
$18K |
| 99442 |
|
58 |
52 |
$12K |
| 0012A |
|
314 |
312 |
$12K |
| 92002 |
|
53 |
53 |
$11K |
| 0011A |
|
354 |
345 |
$11K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
111 |
72 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,706 |
3,628 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
59 |
51 |
$5K |
| 0064A |
|
113 |
107 |
$4K |
| 99443 |
|
17 |
14 |
$4K |
| 0002A |
|
67 |
66 |
$3K |
| 98968 |
|
25 |
14 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,482 |
1,408 |
$2K |
| 90688 |
|
556 |
554 |
$2K |
| 0072A |
|
44 |
44 |
$2K |
| V2020 |
Frames, purchases |
624 |
619 |
$2K |
| 0001A |
|
35 |
35 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,076 |
1,055 |
$1K |
| 82962 |
|
3,093 |
2,526 |
$1K |
| 0124A |
|
36 |
36 |
$1K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
16 |
12 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
141 |
123 |
$890.33 |
| 0071A |
|
15 |
15 |
$495.58 |
| 99406 |
|
55 |
50 |
$344.18 |
| 87428 |
|
443 |
394 |
$220.47 |
| 90686 |
|
789 |
773 |
$100.20 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
84 |
47 |
$77.74 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
139 |
136 |
$51.21 |
| 92551 |
|
758 |
732 |
$11.16 |
| 2001F |
|
12,247 |
10,382 |
$1.95 |
| 3008F |
|
12,147 |
10,282 |
$1.95 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
10,971 |
9,340 |
$1.95 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
10,139 |
8,753 |
$0.00 |
| 3078F |
|
8,105 |
7,024 |
$0.00 |
| 3050F |
|
326 |
247 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
626 |
491 |
$0.00 |
| 90685 |
|
35 |
35 |
$0.00 |
| 92015 |
Determination of refractive state |
814 |
806 |
$0.00 |
| 3077F |
|
625 |
491 |
$0.00 |
| 99173 |
|
873 |
850 |
$0.00 |
| 90670 |
|
65 |
65 |
$0.00 |
| 1158F |
|
13 |
13 |
$0.00 |
| G9359 |
Documentation of negative or managed positive tb screen with further evidence that tb is not active prior to treatment with a biologic immune response modifier |
59 |
59 |
$0.00 |
| 81002 |
|
12 |
12 |
$0.00 |
| 1159F |
|
187 |
171 |
$0.00 |
| 1036F |
|
7,484 |
6,263 |
$0.00 |
| 3048F |
|
2,856 |
2,257 |
$0.00 |
| 3079F |
|
1,757 |
1,523 |
$0.00 |
| 1111F |
|
11,584 |
10,141 |
$0.00 |
| 3074F |
|
8,731 |
7,606 |
$0.00 |
| 3049F |
|
607 |
479 |
$0.00 |
| 1035F |
|
33 |
27 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
118 |
117 |
$0.00 |
| 1034F |
|
899 |
703 |
$0.00 |
| 3075F |
|
331 |
293 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
89 |
70 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
173 |
168 |
$0.00 |
| 93000 |
|
17 |
15 |
$0.00 |
| 90651 |
|
54 |
54 |
$0.00 |
| 3080F |
|
55 |
41 |
$0.00 |
| 1123F |
|
13 |
13 |
$0.00 |
| 3044F |
|
17 |
14 |
$0.00 |