| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,095 |
22,912 |
$2.56M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,641 |
8,591 |
$1.34M |
| 92015 |
Determination of refractive state |
2,035 |
1,789 |
$223K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
3,268 |
3,191 |
$191K |
| 80061 |
Lipid panel |
5,707 |
5,155 |
$169K |
| 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 |
5,381 |
4,816 |
$134K |
| 11056 |
|
1,570 |
1,323 |
$133K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,116 |
1,871 |
$123K |
| 80053 |
Comprehensive metabolic panel |
6,077 |
5,474 |
$122K |
| 90834 |
Psychotherapy, 45 minutes with patient |
989 |
744 |
$112K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,760 |
6,087 |
$103K |
| 90832 |
Psychotherapy, 30 minutes with patient |
770 |
568 |
$90K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
912 |
896 |
$75K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
2,915 |
2,715 |
$75K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,846 |
1,646 |
$75K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,794 |
1,594 |
$74K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,622 |
3,272 |
$72K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
373 |
350 |
$69K |
| D1110 |
Prophylaxis - adult |
1,113 |
1,018 |
$67K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
141 |
136 |
$62K |
| D0120 |
Periodic oral evaluation - established patient |
1,114 |
1,001 |
$60K |
| D0220 |
Intraoral - periapical first radiographic image |
1,876 |
1,662 |
$55K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
663 |
655 |
$52K |
| 98940 |
|
1,097 |
790 |
$51K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
628 |
613 |
$49K |
| 81025 |
|
5,484 |
5,173 |
$48K |
| D0272 |
Bitewings - two radiographic images |
897 |
816 |
$41K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,392 |
1,239 |
$41K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,067 |
971 |
$35K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
358 |
340 |
$35K |
| 11057 |
|
324 |
267 |
$35K |
| 99408 |
|
413 |
359 |
$33K |
| D0330 |
Panoramic radiographic image |
266 |
251 |
$32K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,231 |
656 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
356 |
327 |
$26K |
| 81001 |
|
3,267 |
2,914 |
$22K |
| D7140 |
Extraction, erupted tooth or exposed root |
205 |
76 |
$17K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
171 |
158 |
$16K |
| 11721 |
|
2,086 |
1,664 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
76 |
67 |
$9K |
| 99205 |
Prolong outpt/office vis |
28 |
28 |
$9K |
| 81003 |
|
3,021 |
2,580 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
52 |
51 |
$8K |
| 96156 |
|
84 |
73 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
24 |
18 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
85 |
84 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
373 |
327 |
$5K |
| 85027 |
|
903 |
899 |
$5K |
| 99384 |
|
55 |
53 |
$4K |
| 80305 |
|
79 |
66 |
$4K |
| 99383 |
|
46 |
44 |
$4K |
| 0012A |
|
96 |
88 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
38 |
26 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$3K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
51 |
39 |
$3K |
| 0011A |
|
85 |
81 |
$3K |
| 86592 |
|
549 |
547 |
$2K |
| 11720 |
|
588 |
489 |
$2K |
| 0001A |
|
83 |
78 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
217 |
214 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
12 |
$2K |
| 82962 |
|
371 |
349 |
$2K |
| 99382 |
|
16 |
15 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
54 |
44 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
381 |
316 |
$2K |
| 0002A |
|
48 |
46 |
$1K |
| 90480 |
|
58 |
55 |
$1K |
| 99442 |
|
322 |
246 |
$1K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
124 |
118 |
$754.57 |
| 3074F |
|
786 |
700 |
$590.00 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
15 |
15 |
$539.00 |
| G0127 |
Trimming of dystrophic nails, any number |
17 |
12 |
$454.72 |
| 0071A |
|
12 |
12 |
$441.60 |
| 3078F |
|
832 |
739 |
$430.00 |
| 3079F |
|
465 |
407 |
$400.00 |
| 85018 |
|
130 |
128 |
$305.20 |
| 86580 |
|
28 |
26 |
$284.07 |
| 3075F |
|
238 |
211 |
$270.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
19 |
18 |
$260.87 |
| 90710 |
|
12 |
12 |
$258.36 |
| 90677 |
|
26 |
26 |
$209.82 |
| 88141 |
|
12 |
12 |
$130.84 |
| 90734 |
|
15 |
15 |
$121.05 |
| 90633 |
|
15 |
15 |
$113.60 |
| 90651 |
|
13 |
13 |
$104.91 |
| 85652 |
|
31 |
27 |
$102.63 |
| G0008 |
Administration of influenza virus vaccine |
14 |
12 |
$81.20 |
| 3077F |
|
160 |
140 |
$70.00 |
| 85660 |
|
15 |
15 |
$66.00 |
| 3080F |
|
38 |
33 |
$60.00 |
| 82947 |
|
15 |
15 |
$47.10 |
| 96127 |
|
94 |
74 |
$5.88 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
104 |
95 |
$0.00 |
| 1159F |
|
688 |
606 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
189 |
164 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
922 |
811 |
$0.00 |
| 1160F |
|
489 |
428 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
81 |
77 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
288 |
265 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
138 |
120 |
$0.00 |
| 3288F |
|
97 |
92 |
$0.00 |
| 99072 |
|
40 |
35 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
179 |
167 |
$0.00 |
| D1330 |
|
227 |
201 |
$0.00 |
| D0603 |
|
131 |
130 |
$0.00 |
| 1125F |
|
122 |
112 |
$0.00 |
| 4010F |
|
12 |
12 |
$0.00 |
| 1126F |
|
199 |
184 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
48 |
42 |
$0.00 |
| 3017F |
|
28 |
25 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
75 |
58 |
$0.00 |
| G8734 |
Elder maltreatment screen documented as negative, follow-up is not required |
142 |
135 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
165 |
154 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
85 |
74 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
48 |
42 |
$0.00 |
| 1000F |
|
198 |
190 |
$0.00 |
| 1036F |
|
82 |
75 |
$0.00 |
| 1034F |
|
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
13 |
$0.00 |