| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,935 |
28,280 |
$2.06M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,595 |
7,036 |
$540K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,234 |
5,988 |
$469K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,273 |
3,976 |
$354K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,813 |
1,751 |
$134K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,868 |
2,709 |
$117K |
| 90670 |
|
4,888 |
4,703 |
$80K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,213 |
5,006 |
$42K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
487 |
475 |
$40K |
| 90677 |
|
535 |
490 |
$39K |
| 99381 |
|
512 |
493 |
$37K |
| 90686 |
|
3,055 |
2,864 |
$32K |
| 90697 |
|
1,087 |
1,024 |
$32K |
| 90648 |
|
2,804 |
2,707 |
$30K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,138 |
2,031 |
$27K |
| 90723 |
|
1,887 |
1,829 |
$24K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
18,092 |
16,739 |
$24K |
| 90633 |
|
1,562 |
1,492 |
$18K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
325 |
307 |
$18K |
| 90681 |
|
1,224 |
1,175 |
$17K |
| 99173 |
|
6,961 |
6,687 |
$16K |
| 96127 |
|
3,318 |
3,225 |
$15K |
| 83655 |
|
1,458 |
1,395 |
$15K |
| 90834 |
Psychotherapy, 45 minutes with patient |
207 |
174 |
$14K |
| 90461 |
|
9,082 |
8,579 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
306 |
292 |
$9K |
| 90651 |
|
362 |
347 |
$9K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
14 |
12 |
$7K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
251 |
244 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
464 |
431 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
161 |
143 |
$6K |
| 85018 |
|
2,033 |
1,959 |
$5K |
| 92551 |
|
495 |
473 |
$5K |
| 3008F |
|
1,647 |
1,603 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
403 |
384 |
$4K |
| 90715 |
|
222 |
212 |
$4K |
| 90734 |
|
220 |
205 |
$4K |
| 90716 |
|
230 |
219 |
$4K |
| 81025 |
|
589 |
558 |
$3K |
| 90707 |
|
229 |
218 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
48 |
27 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
39 |
26 |
$3K |
| 90710 |
|
98 |
90 |
$3K |
| 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 |
191 |
121 |
$2K |
| 59430 |
|
12 |
12 |
$2K |
| 80061 |
Lipid panel |
110 |
98 |
$1K |
| 90696 |
|
85 |
80 |
$1K |
| 90656 |
|
57 |
56 |
$1K |
| D1110 |
Prophylaxis - adult |
26 |
26 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
100 |
86 |
$909.94 |
| 36416 |
|
2,835 |
2,689 |
$817.44 |
| 36415 |
Collection of venous blood by venipuncture |
624 |
536 |
$789.10 |
| D0140 |
Limited oral evaluation - problem focused |
40 |
39 |
$521.43 |
| D0330 |
Panoramic radiographic image |
24 |
24 |
$431.92 |
| 81002 |
|
302 |
263 |
$418.82 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
15 |
13 |
$364.79 |
| 90672 |
|
13 |
13 |
$301.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
60 |
58 |
$299.70 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
16 |
16 |
$248.80 |
| D0274 |
Bitewings - four radiographic images |
26 |
26 |
$248.40 |
| 87807 |
|
26 |
24 |
$244.65 |
| 76830 |
Ultrasound, transvaginal |
13 |
12 |
$243.11 |
| 90698 |
|
12 |
12 |
$224.68 |
| 99000 |
|
1,108 |
956 |
$216.74 |
| 90700 |
|
12 |
12 |
$132.00 |
| 90688 |
|
16 |
16 |
$121.00 |
| 94760 |
|
322 |
292 |
$70.71 |
| D0220 |
Intraoral - periapical first radiographic image |
33 |
28 |
$55.90 |
| 90473 |
|
362 |
337 |
$11.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
14 |
14 |
$0.56 |
| D9995 |
|
35 |
34 |
$0.00 |
| D1999 |
|
19 |
15 |
$0.00 |