| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
74,048 |
66,231 |
$15.05M |
| D9999 |
Unspecified adjunctive procedure, by report |
35,598 |
33,462 |
$12.32M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
36,126 |
32,938 |
$7.25M |
| D0140 |
Limited oral evaluation - problem focused |
11,340 |
10,430 |
$4.10M |
| 90832 |
Psychotherapy, 30 minutes with patient |
16,042 |
11,712 |
$2.95M |
| 90834 |
Psychotherapy, 45 minutes with patient |
5,889 |
4,197 |
$1.22M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,493 |
4,198 |
$832K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,172 |
2,138 |
$519K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,915 |
1,875 |
$424K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,777 |
1,713 |
$377K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,234 |
1,211 |
$301K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
990 |
946 |
$191K |
| 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 |
3,680 |
2,236 |
$185K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,745 |
1,348 |
$158K |
| 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 |
1,266 |
1,137 |
$157K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
656 |
631 |
$133K |
| 98968 |
|
473 |
291 |
$105K |
| 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 |
14,238 |
11,488 |
$89K |
| 90677 |
|
331 |
327 |
$59K |
| 99442 |
|
201 |
180 |
$45K |
| 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 |
678 |
483 |
$42K |
| 90670 |
|
947 |
923 |
$33K |
| 90837 |
Psychotherapy, 53 minutes with patient |
126 |
102 |
$31K |
| 90791 |
Psychiatric diagnostic evaluation |
111 |
107 |
$28K |
| 90651 |
|
471 |
452 |
$23K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
103 |
97 |
$21K |
| 1000F |
|
82,948 |
73,504 |
$18K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
116 |
96 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
662 |
522 |
$15K |
| 99441 |
|
50 |
45 |
$11K |
| 90710 |
|
38 |
38 |
$8K |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
43 |
43 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
32 |
27 |
$7K |
| 91322 |
|
77 |
72 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
25 |
$5K |
| 1220F |
|
35,583 |
31,412 |
$4K |
| 99384 |
|
13 |
13 |
$4K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
27 |
27 |
$4K |
| 98967 |
|
16 |
13 |
$3K |
| 87428 |
|
753 |
722 |
$3K |
| 99381 |
|
12 |
12 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
13 |
$3K |
| 3351F |
|
25,277 |
23,185 |
$3K |
| 1036F |
|
19,419 |
17,197 |
$3K |
| 3008F |
|
85,791 |
76,880 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,229 |
2,162 |
$2K |
| 90619 |
|
102 |
101 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,996 |
7,729 |
$2K |
| 96127 |
|
13,153 |
6,335 |
$2K |
| 81025 |
|
1,257 |
1,173 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,897 |
2,787 |
$2K |
| 0513F |
|
4,926 |
4,388 |
$1K |
| 1126F |
|
19,325 |
17,873 |
$1K |
| 2000F |
|
49,377 |
44,456 |
$1K |
| 1034F |
|
5,052 |
4,197 |
$1K |
| 3352F |
|
1,275 |
1,159 |
$890.97 |
| 90633 |
|
796 |
779 |
$882.32 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,411 |
1,349 |
$720.00 |
| 90715 |
|
237 |
233 |
$580.62 |
| 2001F |
|
53,800 |
48,379 |
$544.94 |
| 90461 |
|
4,544 |
4,379 |
$466.63 |
| 3074F |
|
40,454 |
36,739 |
$450.67 |
| 4004F |
|
12,080 |
10,846 |
$447.15 |
| 3353F |
|
1,004 |
869 |
$443.82 |
| 3354F |
|
575 |
493 |
$443.82 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
35 |
26 |
$372.63 |
| 86580 |
|
13 |
13 |
$304.26 |
| 90697 |
|
65 |
63 |
$290.31 |
| 1125F |
|
5,025 |
4,635 |
$277.56 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
142 |
104 |
$277.54 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
72 |
49 |
$277.54 |
| 90734 |
|
45 |
44 |
$267.38 |
| 90688 |
|
195 |
193 |
$225.24 |
| 90686 |
|
2,519 |
2,456 |
$219.79 |
| 80305 |
|
1,814 |
1,413 |
$198.40 |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
57 |
55 |
$122.94 |
| G0008 |
Administration of influenza virus vaccine |
201 |
188 |
$100.29 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
848 |
824 |
$69.08 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
12 |
$51.31 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
56 |
55 |
$32.25 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
13 |
$17.41 |
| 90656 |
|
145 |
144 |
$16.80 |
| 81002 |
|
544 |
498 |
$3.54 |
| 3078F |
|
36,567 |
33,340 |
$0.16 |
| 3079F |
|
8,693 |
8,019 |
$0.03 |
| 3075F |
|
2,493 |
2,352 |
$0.02 |
| 1159F |
|
6,765 |
6,275 |
$0.01 |
| 1160F |
|
6,763 |
6,272 |
$0.01 |
| 3077F |
|
2,835 |
2,609 |
$0.00 |
| 3046F |
|
58 |
51 |
$0.00 |
| H1000 |
Prenatal care, at-risk assessment |
126 |
56 |
$0.00 |
| 90648 |
|
74 |
74 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
180 |
167 |
$0.00 |
| 87400 |
|
234 |
223 |
$0.00 |
| 3288F |
|
152 |
142 |
$0.00 |
| 90681 |
|
40 |
38 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
12 |
12 |
$0.00 |
| G8477 |
Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic measurement of >= 90 mmhg |
42 |
41 |
$0.00 |
| 90685 |
|
16 |
16 |
$0.00 |
| 82948 |
|
14 |
13 |
$0.00 |
| 3210F |
|
137 |
122 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
202 |
152 |
$0.00 |
| 81003 |
|
43 |
42 |
$0.00 |
| 3015F |
|
60 |
41 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
115 |
111 |
$0.00 |
| 99080 |
|
13 |
13 |
$0.00 |
| 3044F |
|
213 |
200 |
$0.00 |
| 3080F |
|
1,247 |
1,172 |
$0.00 |
| 1111F |
|
224 |
219 |
$0.00 |
| 1101F |
|
112 |
104 |
$0.00 |
| 90680 |
|
55 |
54 |
$0.00 |
| 90723 |
|
51 |
51 |
$0.00 |
| 93000 |
|
58 |
57 |
$0.00 |
| G9459 |
Currently a tobacco non-user |
116 |
112 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
131 |
125 |
$0.00 |
| 90744 |
|
38 |
38 |
$0.00 |
| 4000F |
|
245 |
184 |
$0.00 |
| 90480 |
|
98 |
92 |
$0.00 |
| 1035F |
|
12 |
12 |
$0.00 |
| 90698 |
|
76 |
76 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
37 |
37 |
$0.00 |
| 82962 |
|
43 |
40 |
$0.00 |