| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,144 |
19,001 |
$286K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,633 |
6,730 |
$172K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,119 |
688 |
$53K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,513 |
790 |
$24K |
| 99215 |
Prolong outpt/office vis |
451 |
361 |
$17K |
| 97810 |
|
573 |
344 |
$14K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
412 |
359 |
$13K |
| 97124 |
|
220 |
143 |
$13K |
| 97811 |
|
543 |
320 |
$10K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
336 |
172 |
$8K |
| 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 |
4,347 |
2,087 |
$6K |
| 90686 |
|
266 |
260 |
$5K |
| D1110 |
Prophylaxis - adult |
284 |
274 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
111 |
101 |
$3K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
40 |
38 |
$2K |
| 90688 |
|
99 |
97 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
60 |
58 |
$1K |
| D1120 |
Prophylaxis - child |
200 |
189 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
561 |
377 |
$1K |
| 91322 |
|
13 |
12 |
$810.33 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
17 |
12 |
$778.57 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
480 |
459 |
$757.74 |
| 90832 |
Psychotherapy, 30 minutes with patient |
249 |
189 |
$723.36 |
| 0031A |
|
31 |
31 |
$706.25 |
| 90674 |
|
28 |
24 |
$619.59 |
| 97164 |
|
12 |
12 |
$581.90 |
| 0071A |
|
20 |
20 |
$450.00 |
| 36415 |
Collection of venous blood by venipuncture |
686 |
578 |
$311.81 |
| 90480 |
|
13 |
12 |
$287.07 |
| D1206 |
Topical application of fluoride varnish |
189 |
181 |
$261.40 |
| D7140 |
Extraction, erupted tooth or exposed root |
24 |
12 |
$231.10 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$190.80 |
| D1208 |
Topical application of fluoride, excluding varnish |
26 |
25 |
$128.00 |
| D0220 |
Intraoral - periapical first radiographic image |
56 |
53 |
$119.13 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
67 |
60 |
$105.43 |
| 80053 |
Comprehensive metabolic panel |
88 |
80 |
$103.68 |
| 80305 |
|
14 |
12 |
$94.14 |
| 80061 |
Lipid panel |
26 |
25 |
$0.00 |
| D0191 |
|
27 |
27 |
$0.00 |
| D0602 |
|
14 |
14 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
12 |
$0.00 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
24 |
14 |
$0.00 |
| 85018 |
|
15 |
13 |
$0.00 |