| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
120,717 |
110,472 |
$7.55M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
68,284 |
59,610 |
$5.11M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
9,558 |
8,949 |
$829K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,220 |
2,194 |
$231K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,036 |
1,931 |
$200K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,130 |
2,567 |
$147K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,837 |
1,536 |
$115K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,072 |
1,059 |
$110K |
| 90837 |
Psychotherapy, 53 minutes with patient |
696 |
601 |
$106K |
| 99215 |
Prolong outpt/office vis |
787 |
690 |
$84K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,708 |
4,298 |
$59K |
| 90834 |
Psychotherapy, 45 minutes with patient |
598 |
537 |
$56K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,736 |
5,567 |
$54K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
421 |
373 |
$51K |
| 99205 |
Prolong outpt/office vis |
340 |
314 |
$48K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,759 |
2,529 |
$45K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,357 |
4,307 |
$41K |
| 81025 |
|
7,709 |
7,299 |
$37K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
14 |
14 |
$33K |
| 90791 |
Psychiatric diagnostic evaluation |
275 |
270 |
$31K |
| 81003 |
|
24,092 |
21,553 |
$31K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
249 |
237 |
$30K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
378 |
358 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
244 |
241 |
$24K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
195 |
185 |
$17K |
| 90686 |
|
1,940 |
1,902 |
$16K |
| 76801 |
|
137 |
128 |
$15K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
116 |
116 |
$13K |
| 96127 |
|
3,060 |
2,785 |
$9K |
| 99490 |
Ccm add 20min |
213 |
209 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
101 |
97 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
4,273 |
3,861 |
$9K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
102 |
102 |
$7K |
| 90670 |
|
1,212 |
1,206 |
$6K |
| 99401 |
|
181 |
166 |
$5K |
| 93000 |
|
422 |
392 |
$4K |
| 99404 |
|
48 |
45 |
$4K |
| 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 |
414 |
309 |
$4K |
| 90633 |
|
369 |
365 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
268 |
262 |
$3K |
| 76830 |
Ultrasound, transvaginal |
28 |
26 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
29 |
27 |
$3K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,992 |
1,838 |
$2K |
| 98960 |
|
73 |
72 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
25 |
24 |
$2K |
| 0002A |
|
41 |
41 |
$2K |
| 90710 |
|
218 |
216 |
$2K |
| 99406 |
|
177 |
157 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
91 |
85 |
$1K |
| 90723 |
|
905 |
898 |
$1K |
| 90647 |
|
710 |
704 |
$1K |
| 90698 |
|
51 |
51 |
$1K |
| 0011A |
|
31 |
30 |
$924.83 |
| 99177 |
|
294 |
286 |
$907.93 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
29 |
24 |
$790.99 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
353 |
299 |
$716.29 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
140 |
135 |
$601.74 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
115 |
110 |
$598.40 |
| 96160 |
|
1,261 |
1,224 |
$548.07 |
| 0001A |
|
15 |
14 |
$520.00 |
| 90680 |
|
16 |
16 |
$329.40 |
| 90744 |
|
14 |
14 |
$307.44 |
| 90681 |
|
220 |
219 |
$263.52 |
| 90685 |
|
12 |
12 |
$263.52 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
106 |
60 |
$253.14 |
| 90715 |
|
13 |
12 |
$242.10 |
| 90700 |
|
12 |
12 |
$241.56 |
| 90696 |
|
25 |
25 |
$241.56 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
13 |
12 |
$224.55 |
| 82962 |
|
99 |
92 |
$188.60 |
| 88738 |
|
25 |
25 |
$101.04 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
56 |
45 |
$90.85 |
| 80305 |
|
12 |
12 |
$88.20 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
13 |
12 |
$41.80 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
14 |
12 |
$20.13 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
121 |
121 |
$13.43 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
896 |
879 |
$1.91 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
14 |
14 |
$1.56 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
15 |
14 |
$0.48 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
1,234 |
1,207 |
$0.29 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
4,340 |
3,932 |
$0.00 |
| 91300 |
|
133 |
128 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
9,764 |
9,274 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
12 |
$0.00 |
| 91301 |
|
89 |
88 |
$0.00 |
| 90677 |
|
208 |
207 |
$0.00 |
| 0503F |
|
15 |
14 |
$0.00 |
| 0500F |
|
29 |
29 |
$0.00 |