| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
75,954 |
50,451 |
$5.48M |
| T1015 |
Clinic visit/encounter, all-inclusive |
83,591 |
49,526 |
$1.70M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,676 |
11,286 |
$919K |
| 99215 |
Prolong outpt/office vis |
3,451 |
2,334 |
$315K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
6,630 |
3,793 |
$207K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
8,639 |
4,965 |
$199K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,676 |
952 |
$130K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,293 |
754 |
$115K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
843 |
499 |
$93K |
| 99310 |
Prolong nursin fac eval 15m |
2,869 |
2,068 |
$84K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
796 |
528 |
$79K |
| 87428 |
|
2,366 |
1,495 |
$65K |
| 90834 |
Psychotherapy, 45 minutes with patient |
777 |
561 |
$42K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,164 |
499 |
$32K |
| 90686 |
|
2,102 |
1,394 |
$30K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,041 |
1,982 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
589 |
308 |
$15K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
399 |
224 |
$9K |
| 99349 |
|
219 |
137 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
111 |
72 |
$8K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
150 |
88 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
802 |
555 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
509 |
401 |
$5K |
| 99307 |
|
249 |
152 |
$4K |
| 99385 |
|
32 |
14 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
179 |
117 |
$3K |
| 90632 |
|
41 |
33 |
$2K |
| 98929 |
|
28 |
27 |
$2K |
| 99406 |
|
82 |
55 |
$2K |
| 0124A |
|
66 |
36 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
219 |
64 |
$1K |
| 90715 |
|
24 |
12 |
$794.90 |
| 90480 |
|
14 |
14 |
$467.40 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
12 |
$441.14 |
| 81002 |
|
176 |
127 |
$383.58 |
| 3044F |
|
37 |
28 |
$120.00 |
| 99490 |
Ccm add 20min |
14 |
13 |
$59.09 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
16 |
15 |
$28.95 |
| 3075F |
|
3,228 |
2,093 |
$0.00 |
| 3079F |
|
9,427 |
6,151 |
$0.00 |
| 3074F |
|
23,096 |
15,360 |
$0.00 |
| 1125F |
|
1,221 |
962 |
$0.00 |
| 1126F |
|
3,894 |
2,878 |
$0.00 |
| 3080F |
|
90 |
51 |
$0.00 |
| 1111F |
|
310 |
276 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
13 |
$0.00 |
| 94760 |
|
63 |
32 |
$0.00 |
| 3078F |
|
19,195 |
12,972 |
$0.00 |
| 3077F |
|
542 |
371 |
$0.00 |
| 91312 |
|
65 |
35 |
$0.00 |
| 91320 |
|
14 |
14 |
$0.00 |