| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,119 |
9,645 |
$1.04M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,531 |
13,156 |
$993K |
| 99215 |
Prolong outpt/office vis |
1,493 |
1,358 |
$193K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,620 |
1,459 |
$86K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
520 |
440 |
$61K |
| 99442 |
|
791 |
752 |
$57K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,884 |
2,762 |
$45K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
477 |
438 |
$43K |
| 98968 |
|
1,334 |
982 |
$41K |
| 99443 |
|
461 |
427 |
$39K |
| 90746 |
|
588 |
562 |
$31K |
| 90686 |
|
1,403 |
1,347 |
$26K |
| 90832 |
Psychotherapy, 30 minutes with patient |
261 |
236 |
$24K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
732 |
669 |
$20K |
| 90651 |
|
120 |
117 |
$18K |
| 90715 |
|
562 |
542 |
$18K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,979 |
2,727 |
$16K |
| 80061 |
Lipid panel |
2,218 |
2,073 |
$16K |
| 96158 |
|
439 |
393 |
$15K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
220 |
197 |
$13K |
| 90791 |
Psychiatric diagnostic evaluation |
86 |
80 |
$13K |
| 96152 |
|
726 |
576 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
667 |
639 |
$10K |
| 90480 |
|
325 |
316 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
85 |
85 |
$8K |
| 82948 |
|
2,577 |
2,403 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
66 |
66 |
$7K |
| 90834 |
Psychotherapy, 45 minutes with patient |
50 |
45 |
$6K |
| 91320 |
|
111 |
107 |
$6K |
| 96156 |
|
193 |
179 |
$6K |
| 99408 |
|
236 |
228 |
$5K |
| 99441 |
|
109 |
108 |
$5K |
| 91322 |
|
109 |
105 |
$5K |
| 96150 |
|
270 |
258 |
$5K |
| 90716 |
|
40 |
40 |
$5K |
| 90656 |
|
214 |
214 |
$4K |
| 98967 |
|
251 |
227 |
$4K |
| 99384 |
|
38 |
38 |
$3K |
| 90674 |
|
114 |
111 |
$3K |
| 99205 |
Prolong outpt/office vis |
14 |
12 |
$2K |
| 99382 |
|
22 |
19 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$2K |
| 92551 |
|
133 |
131 |
$1K |
| 11721 |
|
52 |
50 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
41 |
41 |
$1K |
| 96127 |
|
466 |
451 |
$1K |
| 92250 |
|
43 |
41 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| D1206 |
Topical application of fluoride varnish |
136 |
118 |
$1K |
| 96160 |
|
764 |
717 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
71 |
61 |
$702.40 |
| D1110 |
Prophylaxis - adult |
67 |
54 |
$674.74 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
58 |
53 |
$623.12 |
| 98966 |
|
41 |
37 |
$338.47 |
| 90658 |
|
20 |
20 |
$312.02 |
| 99173 |
|
139 |
137 |
$308.41 |
| 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 |
125 |
67 |
$204.92 |
| 99188 |
|
15 |
13 |
$94.56 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
40 |
25 |
$0.00 |
| D1330 |
|
156 |
134 |
$0.00 |
| D0603 |
|
13 |
13 |
$0.00 |
| D1310 |
|
86 |
75 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$0.00 |