| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,743 |
20,816 |
$797K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,799 |
6,520 |
$330K |
| 99442 |
|
4,478 |
4,369 |
$142K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,261 |
2,153 |
$133K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,669 |
1,663 |
$91K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,036 |
1,031 |
$53K |
| 90686 |
|
3,600 |
3,570 |
$35K |
| 90832 |
Psychotherapy, 30 minutes with patient |
711 |
645 |
$33K |
| 0012A |
|
738 |
738 |
$28K |
| 90837 |
Psychotherapy, 53 minutes with patient |
300 |
276 |
$28K |
| 99443 |
|
599 |
584 |
$27K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,283 |
3,264 |
$26K |
| 90674 |
|
967 |
964 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,778 |
2,742 |
$25K |
| 99441 |
|
1,195 |
1,169 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
363 |
360 |
$20K |
| 0011A |
|
613 |
612 |
$20K |
| 97802 |
|
493 |
489 |
$19K |
| 98968 |
|
409 |
330 |
$17K |
| 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 |
1,040 |
918 |
$16K |
| 90791 |
Psychiatric diagnostic evaluation |
133 |
133 |
$15K |
| 90670 |
|
1,303 |
1,294 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
4,770 |
4,637 |
$11K |
| 90633 |
|
1,124 |
1,115 |
$9K |
| 36416 |
|
5,964 |
5,880 |
$8K |
| D1208 |
Topical application of fluoride, excluding varnish |
636 |
630 |
$8K |
| 83655 |
|
743 |
738 |
$8K |
| 90688 |
|
1,121 |
1,113 |
$8K |
| 0064A |
|
190 |
190 |
$7K |
| T1015 |
Clinic visit/encounter, all-inclusive |
372 |
362 |
$7K |
| 99188 |
|
1,091 |
954 |
$7K |
| 90698 |
|
813 |
805 |
$6K |
| 90713 |
|
376 |
374 |
$5K |
| 90715 |
|
400 |
393 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
613 |
582 |
$5K |
| 90744 |
|
584 |
577 |
$5K |
| 82274 |
|
328 |
326 |
$5K |
| 90651 |
|
419 |
417 |
$5K |
| 85018 |
|
3,238 |
3,219 |
$5K |
| 0072A |
|
113 |
113 |
$5K |
| 92551 |
|
1,177 |
1,168 |
$4K |
| 90710 |
|
509 |
508 |
$4K |
| 0071A |
|
102 |
102 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
169 |
165 |
$4K |
| 80305 |
|
313 |
257 |
$3K |
| 99173 |
|
1,955 |
1,947 |
$3K |
| 81025 |
|
435 |
427 |
$3K |
| 90677 |
|
160 |
159 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
46 |
46 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
208 |
191 |
$2K |
| 90681 |
|
318 |
313 |
$2K |
| 0134A |
|
56 |
56 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
27 |
24 |
$2K |
| 90685 |
|
203 |
202 |
$1K |
| 98967 |
|
42 |
40 |
$1K |
| 97803 |
|
31 |
25 |
$1K |
| 90716 |
|
51 |
50 |
$998.29 |
| 90734 |
|
157 |
156 |
$996.71 |
| 90672 |
|
106 |
106 |
$925.58 |
| 0001A |
|
21 |
21 |
$840.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
60 |
53 |
$754.65 |
| 90700 |
|
74 |
74 |
$748.76 |
| 90696 |
|
96 |
96 |
$745.97 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
56 |
56 |
$720.36 |
| 99383 |
|
12 |
12 |
$714.47 |
| 90680 |
|
104 |
104 |
$695.68 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$617.70 |
| 0111A |
|
15 |
15 |
$560.00 |
| 90619 |
|
32 |
32 |
$545.65 |
| 90647 |
|
55 |
55 |
$354.02 |
| 90707 |
|
26 |
26 |
$328.92 |
| 87210 |
|
44 |
39 |
$207.06 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
54 |
52 |
$205.11 |
| 81002 |
|
32 |
32 |
$78.40 |
| 94010 |
|
12 |
12 |
$63.84 |
| 91301 |
|
1,321 |
1,298 |
$0.00 |
| 91307 |
|
220 |
204 |
$0.00 |
| 3074F |
|
24 |
24 |
$0.00 |
| 91309 |
|
28 |
27 |
$0.00 |
| 91306 |
|
182 |
182 |
$0.00 |
| 91313 |
|
56 |
56 |
$0.00 |
| 91300 |
|
23 |
23 |
$0.00 |
| 3078F |
|
25 |
25 |
$0.00 |
| 91311 |
|
12 |
12 |
$0.00 |