| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,326 |
20,821 |
$2.28M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,962 |
29,602 |
$2.17M |
| 90834 |
Psychotherapy, 45 minutes with patient |
6,291 |
4,687 |
$480K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,750 |
2,412 |
$190K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
988 |
975 |
$73K |
| Q3014 |
Telehealth originating site facility fee |
3,892 |
3,741 |
$64K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
787 |
783 |
$64K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
841 |
829 |
$61K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,508 |
2,016 |
$54K |
| 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 |
1,896 |
1,740 |
$49K |
| V2020 |
Frames, purchases |
1,063 |
1,009 |
$44K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
927 |
882 |
$42K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
516 |
511 |
$41K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,738 |
2,646 |
$38K |
| 90791 |
Psychiatric diagnostic evaluation |
183 |
179 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
255 |
249 |
$23K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,159 |
1,114 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
215 |
210 |
$17K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
956 |
540 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
95 |
92 |
$16K |
| 92015 |
Determination of refractive state |
1,406 |
1,389 |
$15K |
| 99215 |
Prolong outpt/office vis |
77 |
71 |
$14K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
347 |
343 |
$10K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
331 |
167 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
55 |
54 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
106 |
100 |
$5K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
111 |
56 |
$4K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
27 |
27 |
$4K |
| 87807 |
|
336 |
324 |
$4K |
| 0001A |
|
74 |
72 |
$3K |
| 0002A |
|
67 |
66 |
$3K |
| 83655 |
|
212 |
208 |
$2K |
| 82962 |
|
132 |
125 |
$2K |
| 99382 |
|
27 |
27 |
$2K |
| 0072A |
|
35 |
32 |
$2K |
| 99385 |
|
17 |
15 |
$1K |
| 85018 |
|
331 |
326 |
$698.18 |
| 0003A |
|
15 |
15 |
$631.12 |
| 81003 |
|
122 |
119 |
$622.96 |
| 0011A |
|
12 |
12 |
$495.88 |
| 0031A |
|
12 |
12 |
$450.80 |
| 86703 |
|
19 |
17 |
$423.14 |
| 0124A |
|
17 |
14 |
$320.86 |
| 86580 |
|
19 |
16 |
$201.01 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
17 |
13 |
$174.95 |
| 82465 |
|
26 |
25 |
$87.00 |
| 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 |
21 |
14 |
$35.59 |
| 3008F |
|
268 |
222 |
$0.01 |
| 36415 |
Collection of venous blood by venipuncture |
128 |
116 |
$0.00 |
| 91301 |
|
28 |
28 |
$0.00 |
| 3725F |
|
1,004 |
875 |
$0.00 |