| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
94,220 |
87,171 |
$4.20M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
51,739 |
47,367 |
$3.11M |
| T1015 |
Clinic visit/encounter, all-inclusive |
26,659 |
20,762 |
$1.02M |
| 90832 |
Psychotherapy, 30 minutes with patient |
17,618 |
13,754 |
$897K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,529 |
5,677 |
$356K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,414 |
5,347 |
$319K |
| 87428 |
|
4,400 |
4,256 |
$238K |
| V2020 |
Frames, purchases |
5,446 |
5,218 |
$237K |
| 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 |
6,166 |
5,157 |
$219K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25,860 |
25,015 |
$202K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,087 |
4,861 |
$193K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,990 |
2,984 |
$175K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
10,395 |
10,138 |
$166K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
10,801 |
5,434 |
$108K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,854 |
2,631 |
$107K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,566 |
1,565 |
$103K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
10,445 |
10,269 |
$98K |
| 99215 |
Prolong outpt/office vis |
951 |
921 |
$92K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
635 |
624 |
$92K |
| 99051 |
|
3,629 |
3,440 |
$85K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,667 |
2,414 |
$85K |
| 2000F |
|
523 |
472 |
$71K |
| 2001F |
|
506 |
458 |
$69K |
| 90834 |
Psychotherapy, 45 minutes with patient |
888 |
808 |
$69K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,999 |
3,892 |
$67K |
| 3008F |
|
499 |
454 |
$67K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,269 |
1,233 |
$66K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,911 |
3,792 |
$60K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
2,638 |
2,543 |
$59K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
834 |
827 |
$50K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
665 |
655 |
$41K |
| 1159F |
|
265 |
244 |
$37K |
| 1160F |
|
265 |
244 |
$37K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
688 |
591 |
$37K |
| 1000F |
|
284 |
258 |
$35K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,072 |
1,063 |
$34K |
| 82962 |
|
1,614 |
1,467 |
$34K |
| 99460 |
|
727 |
611 |
$33K |
| 3078F |
|
243 |
221 |
$32K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,881 |
1,541 |
$30K |
| 81025 |
|
4,939 |
4,770 |
$25K |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
4,518 |
3,465 |
$20K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
4,386 |
3,356 |
$19K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,234 |
1,225 |
$17K |
| 3074F |
|
125 |
114 |
$16K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
355 |
343 |
$15K |
| 76801 |
|
300 |
294 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
715 |
670 |
$12K |
| 90791 |
Psychiatric diagnostic evaluation |
88 |
88 |
$11K |
| G0008 |
Administration of influenza virus vaccine |
417 |
359 |
$11K |
| 90461 |
|
325 |
312 |
$11K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
319 |
311 |
$10K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
220 |
220 |
$9K |
| 94010 |
|
422 |
389 |
$9K |
| 94664 |
|
751 |
663 |
$8K |
| 94760 |
|
1,504 |
1,367 |
$7K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
370 |
322 |
$7K |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
242 |
219 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
95 |
95 |
$7K |
| 81002 |
|
2,173 |
2,126 |
$6K |
| 1220F |
|
58 |
54 |
$6K |
| 90473 |
|
610 |
602 |
$6K |
| 93000 |
|
252 |
235 |
$6K |
| 3075F |
|
41 |
40 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
100 |
100 |
$5K |
| 92250 |
|
177 |
169 |
$5K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
274 |
227 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
95 |
95 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
159 |
98 |
$5K |
| 87210 |
|
1,065 |
1,040 |
$4K |
| 99385 |
|
39 |
39 |
$4K |
| 3079F |
|
28 |
27 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
66 |
66 |
$3K |
| 0012A |
|
82 |
82 |
$3K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
40 |
40 |
$3K |
| 17110 |
|
88 |
82 |
$3K |
| 2028F |
|
15 |
15 |
$2K |
| 99462 |
|
91 |
77 |
$2K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
28 |
24 |
$2K |
| 90662 |
|
100 |
82 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
39 |
27 |
$2K |
| 92341 |
|
101 |
98 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
77 |
75 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
102 |
90 |
$1K |
| 96127 |
|
101 |
97 |
$1K |
| 90480 |
|
34 |
29 |
$1K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
28 |
27 |
$906.38 |
| 99442 |
|
69 |
62 |
$763.86 |
| 11721 |
|
32 |
32 |
$724.31 |
| 0011A |
|
29 |
29 |
$636.34 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$618.31 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
20 |
19 |
$517.68 |
| 96160 |
|
66 |
64 |
$437.50 |
| 90694 |
|
21 |
16 |
$364.85 |
| T1017 |
Targeted case management, each 15 minutes |
19 |
16 |
$332.85 |
| 99173 |
|
57 |
57 |
$323.23 |
| 69209 |
|
12 |
12 |
$113.19 |
| 90686 |
|
380 |
377 |
$11.68 |
| J7610 |
Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg |
13 |
13 |
$5.54 |
| 90674 |
|
127 |
103 |
$5.30 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
15 |
13 |
$1.18 |
| 90677 |
|
42 |
42 |
$0.42 |
| 90697 |
|
34 |
34 |
$0.34 |
| 90715 |
|
32 |
32 |
$0.32 |
| H0033 |
Oral medication administration, direct observation |
16 |
16 |
$0.16 |
| 90681 |
|
13 |
13 |
$0.13 |
| 90619 |
|
12 |
12 |
$0.12 |
| 90656 |
|
13 |
12 |
$0.09 |
| T1016 |
Case management, each 15 minutes |
28 |
20 |
$0.00 |