| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35,508 |
31,191 |
$5.20M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,075 |
29,668 |
$4.93M |
| D0999 |
Unspecified diagnostic procedure, by report |
2,923 |
2,739 |
$747K |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
6,716 |
3,267 |
$345K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,730 |
1,607 |
$311K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
4,049 |
2,022 |
$209K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
247 |
229 |
$47K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
298 |
267 |
$42K |
| 0001A |
|
764 |
700 |
$29K |
| 0002A |
|
661 |
646 |
$27K |
| 36415 |
Collection of venous blood by venipuncture |
11,720 |
10,597 |
$19K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
723 |
558 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
92 |
84 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,530 |
7,165 |
$16K |
| 0012A |
|
425 |
418 |
$15K |
| D1206 |
Topical application of fluoride varnish |
2,840 |
2,654 |
$15K |
| 0011A |
|
425 |
400 |
$14K |
| H1005 |
Prenatal care, at-risk enhanced service package (includes h1001-h1004) |
26 |
26 |
$14K |
| 0072A |
|
263 |
260 |
$13K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
9,973 |
9,142 |
$12K |
| 0071A |
|
285 |
281 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
67 |
62 |
$12K |
| 99000 |
|
14,218 |
12,762 |
$9K |
| 0124A |
|
145 |
122 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
61 |
54 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
61 |
57 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
33 |
32 |
$7K |
| 0054A |
|
147 |
137 |
$7K |
| 0064A |
|
190 |
184 |
$7K |
| 87428 |
|
711 |
695 |
$6K |
| 81002 |
|
3,896 |
3,086 |
$5K |
| 0074A |
|
84 |
73 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
850 |
776 |
$3K |
| 0004A |
|
72 |
70 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
13 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
50 |
43 |
$2K |
| 36416 |
|
2,346 |
2,162 |
$2K |
| D0190 |
|
318 |
276 |
$2K |
| 90686 |
|
2,731 |
2,608 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,400 |
1,289 |
$2K |
| 0154A |
|
22 |
16 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
309 |
307 |
$1K |
| 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 |
68 |
64 |
$954.97 |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
29 |
14 |
$735.36 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
324 |
308 |
$380.26 |
| 81025 |
|
193 |
172 |
$266.06 |
| 91301 |
|
834 |
822 |
$218.66 |
| 80053 |
Comprehensive metabolic panel |
1,520 |
1,445 |
$216.17 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,108 |
1,045 |
$117.00 |
| 85018 |
|
34 |
26 |
$6.64 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,006 |
953 |
$4.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
785 |
763 |
$0.00 |
| 90656 |
|
43 |
43 |
$0.00 |
| 90688 |
|
511 |
485 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
156 |
152 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
293 |
290 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
138 |
132 |
$0.00 |
| 86803 |
|
113 |
111 |
$0.00 |
| 90647 |
|
13 |
13 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
51 |
50 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
27 |
27 |
$0.00 |
| 86592 |
|
15 |
12 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| 90651 |
|
17 |
12 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
247 |
162 |
$0.00 |
| 80061 |
Lipid panel |
364 |
358 |
$0.00 |
| 90715 |
|
56 |
52 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
63 |
62 |
$0.00 |
| 90670 |
|
43 |
43 |
$0.00 |
| 84439 |
|
17 |
17 |
$0.00 |
| 84481 |
|
16 |
16 |
$0.00 |
| 91300 |
|
15 |
15 |
$0.00 |