| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90832 |
Psychotherapy, 30 minutes with patient |
3,391 |
2,017 |
$65K |
| 90791 |
Psychiatric diagnostic evaluation |
377 |
355 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
61,212 |
52,609 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,306 |
19,494 |
$10K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
325 |
311 |
$7K |
| 90834 |
Psychotherapy, 45 minutes with patient |
63 |
56 |
$4K |
| G9920 |
Screening performed and negative |
360 |
360 |
$3K |
| V2020 |
Frames, purchases |
101 |
94 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14,162 |
12,853 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
82 |
82 |
$972.72 |
| 93000 |
|
42 |
42 |
$916.95 |
| 92002 |
|
31 |
26 |
$844.22 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
100 |
92 |
$714.27 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
92 |
92 |
$292.05 |
| 90686 |
|
3,186 |
3,176 |
$264.90 |
| 92551 |
|
2,982 |
2,899 |
$234.72 |
| 90715 |
|
123 |
123 |
$228.25 |
| 99000 |
|
9,286 |
8,986 |
$218.99 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
68 |
66 |
$185.16 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
65 |
63 |
$184.56 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
52 |
50 |
$182.16 |
| 99385 |
|
149 |
146 |
$112.96 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
931 |
930 |
$101.87 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
127 |
126 |
$98.16 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
574 |
563 |
$81.44 |
| 84443 |
Thyroid stimulating hormone (TSH) |
130 |
128 |
$58.44 |
| 88142 |
|
12 |
12 |
$54.39 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
680 |
673 |
$47.76 |
| 81002 |
|
1,513 |
1,278 |
$38.34 |
| 80053 |
Comprehensive metabolic panel |
135 |
134 |
$36.76 |
| 80061 |
Lipid panel |
119 |
118 |
$34.26 |
| 82607 |
|
38 |
37 |
$26.40 |
| 82746 |
|
37 |
36 |
$26.24 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
119 |
117 |
$20.04 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,045 |
1,038 |
$16.90 |
| 99173 |
|
2,817 |
2,739 |
$15.96 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,146 |
2,126 |
$13.26 |
| 81025 |
|
601 |
581 |
$8.31 |
| 85018 |
|
979 |
978 |
$8.20 |
| 84436 |
|
14 |
14 |
$5.97 |
| 81003 |
|
75 |
72 |
$5.82 |
| 82043 |
|
28 |
28 |
$5.03 |
| 82570 |
|
28 |
27 |
$4.64 |
| 3078F |
|
25,612 |
23,596 |
$0.00 |
| 96160 |
|
1,441 |
1,436 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
288 |
286 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
1,256 |
1,254 |
$0.00 |
| 3077F |
|
4,184 |
3,947 |
$0.00 |
| 90461 |
|
729 |
721 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
743 |
739 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,330 |
3,278 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
36 |
25 |
$0.00 |
| 1159F |
|
306 |
260 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
442 |
441 |
$0.00 |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
652 |
374 |
$0.00 |
| 90734 |
|
108 |
108 |
$0.00 |
| 3046F |
|
71 |
57 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
81 |
78 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
101 |
100 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
110 |
107 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54 |
54 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
27 |
27 |
$0.00 |
| 3051F |
|
20 |
15 |
$0.00 |
| 90648 |
|
13 |
13 |
$0.00 |
| G0476 |
Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test |
14 |
14 |
$0.00 |
| 91320 |
|
26 |
26 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
26 |
$0.00 |
| 90633 |
|
27 |
27 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 3079F |
|
8,690 |
8,332 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
4,584 |
4,323 |
$0.00 |
| 3075F |
|
5,119 |
4,938 |
$0.00 |
| 3074F |
|
26,156 |
24,105 |
$0.00 |
| 3044F |
|
988 |
972 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
9,275 |
8,948 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
8,821 |
8,640 |
$0.00 |
| 3080F |
|
1,131 |
1,068 |
$0.00 |
| 96156 |
|
7,017 |
6,959 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,071 |
3,035 |
$0.00 |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
831 |
820 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
5,661 |
5,522 |
$0.00 |
| 1220F |
|
661 |
628 |
$0.00 |
| 3008F |
|
692 |
684 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
824 |
517 |
$0.00 |
| 36416 |
|
193 |
190 |
$0.00 |
| 2001F |
|
211 |
207 |
$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 |
681 |
621 |
$0.00 |
| 85027 |
|
29 |
29 |
$0.00 |
| 90651 |
|
336 |
336 |
$0.00 |
| 90656 |
|
499 |
498 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
970 |
968 |
$0.00 |
| 82962 |
|
97 |
92 |
$0.00 |
| 3061F |
|
152 |
121 |
$0.00 |
| 91301 |
|
42 |
42 |
$0.00 |
| 3351F |
|
86 |
86 |
$0.00 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
58 |
49 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |
| 91303 |
|
15 |
15 |
$0.00 |
| 3060F |
|
16 |
14 |
$0.00 |
| 88738 |
|
15 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
35 |
35 |
$0.00 |