| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38,276 |
33,791 |
$1.23M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
6,815 |
5,022 |
$524K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,892 |
3,806 |
$310K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,579 |
3,323 |
$274K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,987 |
3,729 |
$213K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,146 |
2,112 |
$167K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,147 |
1,133 |
$96K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,180 |
3,967 |
$86K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,101 |
2,975 |
$72K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,213 |
5,713 |
$60K |
| 92552 |
|
5,146 |
5,054 |
$57K |
| 90671 |
|
529 |
525 |
$24K |
| 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 |
1,770 |
1,310 |
$24K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
248 |
207 |
$14K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,471 |
1,435 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,451 |
2,394 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,025 |
1,961 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,613 |
1,574 |
$7K |
| 87428 |
|
215 |
202 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
676 |
632 |
$4K |
| 90461 |
|
2,928 |
2,542 |
$4K |
| 99406 |
|
963 |
801 |
$3K |
| 85018 |
|
2,323 |
2,268 |
$2K |
| 99383 |
|
15 |
15 |
$1K |
| 81025 |
|
596 |
540 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 99188 |
|
62 |
62 |
$974.90 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
293 |
281 |
$897.50 |
| 87807 |
|
255 |
247 |
$859.72 |
| 81002 |
|
640 |
593 |
$567.97 |
| 90832 |
Psychotherapy, 30 minutes with patient |
69 |
43 |
$379.16 |
| 90686 |
|
1,681 |
1,655 |
$365.86 |
| 36415 |
Collection of venous blood by venipuncture |
660 |
611 |
$282.00 |
| 82962 |
|
329 |
306 |
$257.93 |
| 90651 |
|
145 |
143 |
$123.23 |
| 99403 |
|
12 |
12 |
$105.52 |
| 90633 |
|
361 |
355 |
$103.37 |
| 92551 |
|
669 |
632 |
$85.72 |
| 3074F |
|
44 |
42 |
$75.00 |
| 90656 |
|
112 |
111 |
$69.69 |
| 94760 |
|
1,338 |
1,186 |
$41.25 |
| 90723 |
|
598 |
587 |
$40.00 |
| 88142 |
|
16 |
15 |
$33.06 |
| 99177 |
|
7,403 |
6,714 |
$14.18 |
| 90710 |
|
15 |
15 |
$0.00 |
| 90670 |
|
852 |
827 |
$0.00 |
| 90681 |
|
52 |
51 |
$0.00 |
| 90648 |
|
527 |
506 |
$0.00 |
| 99173 |
|
245 |
227 |
$0.00 |
| 3077F |
|
29 |
28 |
$0.00 |
| 90707 |
|
25 |
25 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90734 |
|
28 |
28 |
$0.00 |
| 3078F |
|
14 |
12 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
760 |
693 |
$0.00 |
| 90647 |
|
448 |
446 |
$0.00 |
| 99172 |
|
27 |
27 |
$0.00 |
| 96127 |
|
136 |
126 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 3079F |
|
14 |
13 |
$0.00 |
| 90716 |
|
15 |
15 |
$0.00 |
| 90677 |
|
29 |
29 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |