| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
75,242 |
65,838 |
$5.54M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,967 |
10,782 |
$782K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,384 |
6,504 |
$595K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,415 |
2,226 |
$205K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
5,940 |
5,741 |
$129K |
| 96127 |
|
17,464 |
15,877 |
$48K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
703 |
664 |
$43K |
| 99342 |
|
76 |
76 |
$28K |
| 87428 |
|
559 |
508 |
$12K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
494 |
486 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
110 |
99 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
943 |
804 |
$10K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
53 |
47 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
70 |
63 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
16,429 |
15,227 |
$2K |
| 99429 |
|
289 |
221 |
$1K |
| 99406 |
|
7,684 |
6,912 |
$1K |
| 0002A |
|
34 |
33 |
$940.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,992 |
2,589 |
$799.25 |
| 0001A |
|
41 |
41 |
$721.20 |
| 11721 |
|
3,358 |
3,157 |
$677.34 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
9,114 |
8,639 |
$672.23 |
| 2000F |
|
56,944 |
49,251 |
$636.92 |
| 99307 |
|
39 |
38 |
$473.24 |
| 3079F |
|
5,072 |
4,785 |
$275.00 |
| 99348 |
|
13 |
12 |
$251.10 |
| 81003 |
|
5,885 |
5,385 |
$223.78 |
| 81025 |
|
570 |
509 |
$173.13 |
| 96160 |
|
2,566 |
2,410 |
$98.80 |
| 11055 |
|
13 |
12 |
$56.85 |
| 3074F |
|
5,173 |
4,874 |
$50.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
14 |
$47.08 |
| 3044F |
|
2,446 |
2,279 |
$25.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
683 |
618 |
$15.08 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
472 |
424 |
$13.60 |
| 3078F |
|
5,641 |
5,320 |
$0.00 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
7,014 |
6,419 |
$0.00 |
| 82947 |
|
3,899 |
3,552 |
$0.00 |
| 3077F |
|
5,269 |
4,905 |
$0.00 |
| 2028F |
|
1,012 |
952 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,366 |
2,065 |
$0.00 |
| 82570 |
|
1,292 |
1,228 |
$0.00 |
| 1160F |
|
4,356 |
3,942 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,301 |
1,131 |
$0.00 |
| G9920 |
Screening performed and negative |
101 |
92 |
$0.00 |
| 3046F |
|
553 |
523 |
$0.00 |
| 0521F |
|
975 |
910 |
$0.00 |
| 99334 |
|
24 |
24 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
513 |
481 |
$0.00 |
| 90662 |
|
355 |
342 |
$0.00 |
| 87210 |
|
19 |
15 |
$0.00 |
| 3045F |
|
410 |
400 |
$0.00 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
18 |
13 |
$0.00 |
| 99347 |
|
13 |
13 |
$0.00 |
| 3051F |
|
26 |
26 |
$0.00 |
| 3050F |
|
56 |
53 |
$0.00 |
| 11056 |
|
17 |
14 |
$0.00 |
| 1100F |
|
13 |
13 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
42 |
42 |
$0.00 |
| 2001F |
|
7,463 |
6,681 |
$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) |
915 |
868 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
87 |
81 |
$0.00 |
| 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 |
24,967 |
21,626 |
$0.00 |
| 3075F |
|
3,161 |
2,996 |
$0.00 |
| 3008F |
|
11,170 |
10,075 |
$0.00 |
| 82044 |
|
1,214 |
1,156 |
$0.00 |
| 93000 |
|
585 |
545 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
32 |
31 |
$0.00 |
| 3080F |
|
2,950 |
2,747 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,851 |
1,644 |
$0.00 |
| 90686 |
|
175 |
150 |
$0.00 |
| 1125F |
|
2,611 |
2,440 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
440 |
372 |
$0.00 |
| 99070 |
|
1,124 |
578 |
$0.00 |
| 1126F |
|
2,292 |
2,148 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
629 |
617 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
2,173 |
1,984 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
403 |
370 |
$0.00 |
| 3048F |
|
373 |
353 |
$0.00 |
| 85018 |
|
305 |
281 |
$0.00 |
| 1170F |
|
25 |
25 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
73 |
65 |
$0.00 |
| 90694 |
|
13 |
13 |
$0.00 |
| 3049F |
|
90 |
85 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
280 |
229 |
$0.00 |
| 96125 |
|
57 |
55 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
30 |
28 |
$0.00 |
| 90674 |
|
13 |
13 |
$0.00 |