| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,997 |
20,187 |
$644K |
| H1000 |
Prenatal care, at-risk assessment |
6,144 |
4,355 |
$269K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,540 |
2,891 |
$216K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,236 |
2,562 |
$184K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,369 |
4,035 |
$147K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,685 |
1,447 |
$106K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
925 |
839 |
$64K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,717 |
7,746 |
$49K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,222 |
3,819 |
$38K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,074 |
699 |
$34K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,144 |
5,374 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
453 |
425 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,749 |
1,038 |
$12K |
| 90670 |
|
1,723 |
1,329 |
$7K |
| 99188 |
|
714 |
571 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
363 |
351 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
61 |
59 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
44 |
43 |
$3K |
| 90677 |
|
516 |
473 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
87 |
51 |
$3K |
| 59430 |
|
88 |
51 |
$2K |
| 81025 |
|
1,008 |
808 |
$2K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
181 |
84 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
644 |
581 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
49 |
44 |
$2K |
| 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 |
394 |
355 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
40 |
39 |
$2K |
| 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 |
2,523 |
1,768 |
$2K |
| 90686 |
|
3,991 |
3,275 |
$2K |
| 90474 |
|
328 |
316 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
385 |
300 |
$2K |
| D0191 |
|
156 |
156 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
63 |
34 |
$1K |
| 87428 |
|
78 |
76 |
$1K |
| 81002 |
|
1,898 |
1,271 |
$994.85 |
| 99385 |
|
40 |
12 |
$915.63 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
190 |
147 |
$790.34 |
| 90837 |
Psychotherapy, 53 minutes with patient |
22 |
12 |
$742.62 |
| 0072A |
|
35 |
32 |
$720.00 |
| 0012A |
|
39 |
36 |
$680.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
91 |
87 |
$496.81 |
| 36415 |
Collection of venous blood by venipuncture |
422 |
367 |
$496.80 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
115 |
84 |
$481.00 |
| 85018 |
|
516 |
493 |
$473.88 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
177 |
134 |
$395.52 |
| 99441 |
|
59 |
57 |
$395.42 |
| 0011A |
|
27 |
27 |
$335.39 |
| 83026 |
|
373 |
312 |
$291.19 |
| 91318 |
|
14 |
12 |
$262.20 |
| 3008F |
|
43,379 |
32,646 |
$230.80 |
| 3074F |
|
31,934 |
25,292 |
$200.00 |
| 90480 |
|
43 |
40 |
$170.00 |
| 0003A |
|
14 |
14 |
$160.00 |
| 0071A |
|
30 |
30 |
$130.00 |
| 3078F |
|
27,439 |
21,302 |
$102.90 |
| 92551 |
|
3,534 |
2,620 |
$101.17 |
| 0081A |
|
40 |
39 |
$71.99 |
| 90647 |
|
1,210 |
1,017 |
$56.96 |
| 1000F |
|
25,923 |
19,337 |
$49.90 |
| 3044F |
|
1,011 |
904 |
$40.00 |
| 3351F |
|
10,894 |
6,933 |
$33.04 |
| 90674 |
|
168 |
145 |
$32.28 |
| 1159F |
|
26,355 |
21,372 |
$23.40 |
| 1036F |
|
14,915 |
9,939 |
$14.12 |
| 99173 |
|
3,664 |
2,703 |
$11.42 |
| 90633 |
|
729 |
584 |
$10.01 |
| 90696 |
|
13 |
13 |
$10.00 |
| 1126F |
|
15,911 |
13,481 |
$1.30 |
| 1158F |
|
1,263 |
791 |
$0.02 |
| 3075F |
|
1,634 |
1,228 |
$0.01 |
| 90656 |
|
415 |
406 |
$0.01 |
| 1160F |
|
20,939 |
16,385 |
$0.01 |
| 2001F |
|
41,267 |
32,670 |
$0.00 |
| 3079F |
|
6,690 |
4,659 |
$0.00 |
| 90723 |
|
1,259 |
1,062 |
$0.00 |
| 1170F |
|
184 |
56 |
$0.00 |
| 1030F |
|
2,542 |
1,938 |
$0.00 |
| 2000F |
|
20,485 |
16,824 |
$0.00 |
| 3080F |
|
200 |
158 |
$0.00 |
| 4037F |
|
2,084 |
1,614 |
$0.00 |
| 1125F |
|
3,601 |
2,604 |
$0.00 |
| 1220F |
|
10,156 |
8,391 |
$0.00 |
| 1034F |
|
1,219 |
829 |
$0.00 |
| 1022F |
|
817 |
732 |
$0.00 |
| 1101F |
|
1,089 |
443 |
$0.00 |
| 3352F |
|
1,107 |
903 |
$0.00 |
| 4000F |
|
1,808 |
1,592 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
43 |
38 |
$0.00 |
| 96127 |
|
419 |
400 |
$0.00 |
| 90651 |
|
273 |
240 |
$0.00 |
| 1005F |
|
212 |
113 |
$0.00 |
| 3017F |
|
117 |
82 |
$0.00 |
| 90620 |
|
48 |
26 |
$0.00 |
| 3353F |
|
494 |
395 |
$0.00 |
| 4010F |
|
95 |
73 |
$0.00 |
| 1157F |
|
359 |
121 |
$0.00 |
| 0513F |
|
78 |
72 |
$0.00 |
| 3014F |
|
33 |
26 |
$0.00 |
| 1038F |
|
33 |
25 |
$0.00 |
| 99406 |
|
13 |
12 |
$0.00 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
120 |
88 |
$0.00 |
| 1033F |
|
3,798 |
2,606 |
$0.00 |
| 4035F |
|
3,150 |
2,497 |
$0.00 |
| 0502F |
|
2,382 |
1,450 |
$0.00 |
| 4040F |
|
807 |
725 |
$0.00 |
| 4004F |
|
687 |
438 |
$0.00 |
| 1032F |
|
32 |
28 |
$0.00 |
| 90734 |
|
197 |
182 |
$0.00 |
| 3077F |
|
465 |
343 |
$0.00 |
| 90681 |
|
403 |
370 |
$0.00 |
| 3210F |
|
272 |
248 |
$0.00 |
| 3015F |
|
225 |
90 |
$0.00 |
| 1039F |
|
375 |
212 |
$0.00 |
| 90461 |
|
846 |
496 |
$0.00 |
| 4158F |
|
482 |
330 |
$0.00 |
| 90655 |
|
17 |
17 |
$0.00 |
| 90710 |
|
14 |
13 |
$0.00 |
| 2028F |
|
16 |
15 |
$0.00 |
| 90715 |
|
15 |
15 |
$0.00 |