| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,177 |
24,611 |
$1.65M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,993 |
11,994 |
$1.07M |
| T1015 |
Clinic visit/encounter, all-inclusive |
54,025 |
41,161 |
$822K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,886 |
4,590 |
$408K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,472 |
4,214 |
$368K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,968 |
3,589 |
$310K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,216 |
2,015 |
$175K |
| 59425 |
|
2,616 |
2,057 |
$143K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13,049 |
10,980 |
$142K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,525 |
1,359 |
$136K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,357 |
1,234 |
$135K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,459 |
3,050 |
$122K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,333 |
1,241 |
$114K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,178 |
576 |
$85K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,521 |
3,193 |
$75K |
| 59426 |
|
1,192 |
588 |
$48K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,091 |
696 |
$34K |
| 90686 |
|
8,263 |
6,872 |
$23K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,089 |
2,808 |
$19K |
| 92551 |
|
2,520 |
2,270 |
$19K |
| 90791 |
Psychiatric diagnostic evaluation |
229 |
200 |
$16K |
| 99385 |
|
168 |
144 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
111 |
100 |
$14K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,976 |
1,686 |
$14K |
| 0072A |
|
364 |
318 |
$12K |
| 36416 |
|
3,149 |
2,757 |
$9K |
| 0071A |
|
204 |
186 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
191 |
182 |
$4K |
| 90715 |
|
255 |
211 |
$4K |
| 99173 |
|
2,679 |
2,402 |
$4K |
| 99383 |
|
42 |
42 |
$4K |
| 99000 |
|
1,107 |
1,013 |
$3K |
| 83655 |
|
434 |
409 |
$3K |
| 99386 |
|
25 |
24 |
$3K |
| 90474 |
|
195 |
181 |
$3K |
| 0004A |
|
125 |
85 |
$3K |
| 99177 |
|
827 |
727 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
32 |
28 |
$2K |
| 99381 |
|
43 |
38 |
$2K |
| 99382 |
|
24 |
24 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
237 |
176 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
211 |
193 |
$1K |
| 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 |
90 |
49 |
$1K |
| 85018 |
|
771 |
704 |
$1K |
| 81003 |
|
338 |
300 |
$509.42 |
| 0001A |
|
19 |
13 |
$483.73 |
| 0052A |
|
33 |
12 |
$442.80 |
| 0154A |
|
36 |
12 |
$442.80 |
| 3044F |
|
68 |
65 |
$440.00 |
| 96380 |
|
46 |
39 |
$405.00 |
| 0064A |
|
22 |
12 |
$372.10 |
| 0054A |
|
42 |
13 |
$369.00 |
| 82948 |
|
224 |
169 |
$355.64 |
| 90651 |
|
772 |
698 |
$273.45 |
| 87400 |
|
81 |
63 |
$251.18 |
| 81025 |
|
47 |
42 |
$244.84 |
| 59430 |
|
36 |
29 |
$175.00 |
| 90656 |
|
765 |
753 |
$174.63 |
| 80061 |
Lipid panel |
13 |
13 |
$174.07 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$119.76 |
| 96127 |
|
11,395 |
8,581 |
$47.76 |
| 90688 |
|
69 |
68 |
$15.77 |
| 96160 |
|
493 |
432 |
$0.00 |
| 90671 |
|
354 |
320 |
$0.00 |
| 3078F |
|
1,609 |
1,470 |
$0.00 |
| 3077F |
|
201 |
186 |
$0.00 |
| 90670 |
|
451 |
378 |
$0.00 |
| 90633 |
|
224 |
207 |
$0.00 |
| 91300 |
|
162 |
115 |
$0.00 |
| 90681 |
|
71 |
57 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
25 |
24 |
$0.00 |
| 90734 |
|
37 |
31 |
$0.00 |
| 99354 |
|
20 |
12 |
$0.00 |
| 91321 |
|
16 |
15 |
$0.00 |
| 90685 |
|
21 |
20 |
$0.00 |
| 90710 |
|
85 |
63 |
$0.00 |
| 90619 |
|
222 |
202 |
$0.00 |
| 90697 |
|
187 |
160 |
$0.00 |
| 3074F |
|
3,754 |
3,470 |
$0.00 |
| 90680 |
|
299 |
272 |
$0.00 |
| 91307 |
|
429 |
372 |
$0.00 |
| 3080F |
|
402 |
379 |
$0.00 |
| 96161 |
|
406 |
368 |
$0.00 |
| 3075F |
|
354 |
327 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
182 |
144 |
$0.00 |
| 90723 |
|
65 |
63 |
$0.00 |
| 90696 |
|
68 |
46 |
$0.00 |
| 90744 |
|
46 |
42 |
$0.00 |
| 87428 |
|
79 |
78 |
$0.00 |
| 90677 |
|
253 |
243 |
$0.00 |
| 91305 |
|
46 |
21 |
$0.00 |
| 90698 |
|
128 |
109 |
$0.00 |
| 90647 |
|
26 |
25 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
14 |
13 |
$0.00 |
| 90480 |
|
29 |
27 |
$0.00 |
| 90620 |
|
14 |
14 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$0.00 |