| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
191,073 |
125,401 |
$8.78M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
43,702 |
25,908 |
$1.78M |
| 90837 |
Psychotherapy, 53 minutes with patient |
14,740 |
8,220 |
$1.40M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
40,315 |
39,759 |
$1.16M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,162 |
12,290 |
$1.04M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12,092 |
8,297 |
$754K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
73,212 |
68,323 |
$733K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
11,693 |
7,801 |
$733K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,920 |
6,454 |
$582K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
7,272 |
4,791 |
$475K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
6,667 |
4,478 |
$430K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
4,390 |
2,916 |
$283K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
5,426 |
5,285 |
$254K |
| 90686 |
|
30,107 |
29,935 |
$239K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
5,184 |
1,815 |
$230K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17,634 |
17,022 |
$201K |
| 96127 |
|
57,290 |
54,211 |
$197K |
| 0012A |
|
4,680 |
4,680 |
$152K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,806 |
912 |
$128K |
| 0011A |
|
4,689 |
4,687 |
$113K |
| 99442 |
|
2,139 |
1,498 |
$93K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,660 |
853 |
$85K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,794 |
1,426 |
$82K |
| 36415 |
Collection of venous blood by venipuncture |
38,590 |
37,353 |
$79K |
| 99441 |
|
2,050 |
1,229 |
$76K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,694 |
1,586 |
$74K |
| 99600 |
Unlisted home visit service or procedure |
3,332 |
2,612 |
$73K |
| 83655 |
|
4,657 |
4,474 |
$60K |
| 90791 |
Psychiatric diagnostic evaluation |
599 |
499 |
$54K |
| 90651 |
|
2,349 |
1,601 |
$53K |
| 90677 |
|
698 |
672 |
$50K |
| 0064A |
|
1,138 |
1,136 |
$50K |
| 99222 |
Initial hospital care, per day, moderate complexity |
679 |
603 |
$44K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,568 |
4,445 |
$41K |
| 97164 |
|
1,218 |
498 |
$37K |
| 97802 |
|
1,357 |
1,357 |
$35K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
38 |
38 |
$33K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
563 |
562 |
$32K |
| 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 |
1,035 |
889 |
$31K |
| 90834 |
Psychotherapy, 45 minutes with patient |
413 |
287 |
$31K |
| 90656 |
|
1,668 |
1,667 |
$26K |
| 99349 |
|
345 |
210 |
$25K |
| 90715 |
|
1,291 |
1,271 |
$25K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
14 |
14 |
$24K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
461 |
318 |
$24K |
| 81025 |
|
7,802 |
7,363 |
$22K |
| 0001A |
|
594 |
594 |
$22K |
| 0002A |
|
595 |
595 |
$22K |
| 0072A |
|
462 |
459 |
$22K |
| 90670 |
|
3,496 |
3,409 |
$21K |
| 0071A |
|
448 |
448 |
$21K |
| 90619 |
|
477 |
465 |
$20K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,699 |
1,574 |
$20K |
| 87430 |
|
3,268 |
3,179 |
$18K |
| 85018 |
|
6,940 |
6,718 |
$16K |
| 99215 |
Prolong outpt/office vis |
172 |
169 |
$15K |
| 81002 |
|
6,538 |
5,859 |
$15K |
| G9007 |
Coordinated care fee, scheduled team conference |
129 |
129 |
$13K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
127 |
107 |
$13K |
| 94760 |
|
47,115 |
45,069 |
$10K |
| 90832 |
Psychotherapy, 30 minutes with patient |
142 |
103 |
$9K |
| 97803 |
|
483 |
463 |
$9K |
| 99401 |
|
634 |
622 |
$7K |
| 90480 |
|
174 |
174 |
$6K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
50 |
50 |
$6K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
181 |
101 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
511 |
509 |
$6K |
| 90713 |
|
669 |
668 |
$6K |
| 87807 |
|
348 |
348 |
$5K |
| 99383 |
|
83 |
51 |
$5K |
| 99358 |
Prolong nursin fac eval 15m |
109 |
108 |
$5K |
| 97162 |
|
115 |
115 |
$4K |
| 99385 |
|
73 |
25 |
$4K |
| 99000 |
|
6,977 |
6,875 |
$3K |
| 99460 |
|
78 |
67 |
$3K |
| 91322 |
|
36 |
36 |
$3K |
| 90716 |
|
225 |
140 |
$3K |
| 97161 |
|
77 |
77 |
$3K |
| 3074F |
|
54,646 |
51,204 |
$3K |
| 90734 |
|
633 |
583 |
$3K |
| W5000 |
|
40 |
27 |
$2K |
| 3078F |
|
45,627 |
43,010 |
$2K |
| 90691 |
|
26 |
26 |
$2K |
| 99443 |
|
37 |
30 |
$2K |
| 3079F |
|
13,132 |
12,637 |
$2K |
| 94150 |
|
839 |
822 |
$2K |
| J3490 |
Unclassified drugs |
36 |
36 |
$2K |
| 11981 |
|
24 |
24 |
$2K |
| 90680 |
|
1,390 |
1,386 |
$2K |
| 90714 |
|
93 |
92 |
$2K |
| 90698 |
|
832 |
824 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
20 |
15 |
$1K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
18 |
15 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
64 |
63 |
$1K |
| 90633 |
|
1,763 |
1,751 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$1K |
| 99382 |
|
13 |
13 |
$1K |
| 90461 |
|
2,157 |
2,149 |
$998.73 |
| 90473 |
|
1,368 |
1,357 |
$949.18 |
| 90717 |
|
13 |
13 |
$942.21 |
| 99406 |
|
242 |
242 |
$877.39 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
105 |
102 |
$844.04 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
493 |
477 |
$837.36 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
36,419 |
33,663 |
$803.42 |
| 90685 |
|
474 |
473 |
$647.04 |
| 59025 |
Fetal non-stress test |
15 |
12 |
$638.31 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
13 |
13 |
$599.01 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
32,341 |
29,441 |
$560.24 |
| 95117 |
|
135 |
55 |
$535.68 |
| 3075F |
|
2,528 |
2,463 |
$485.15 |
| 90700 |
|
795 |
790 |
$460.50 |
| H0049 |
Alcohol and/or drug screening |
26 |
25 |
$458.75 |
| 97163 |
|
13 |
13 |
$245.55 |
| 90710 |
|
82 |
81 |
$224.94 |
| 90648 |
|
1,071 |
1,067 |
$224.32 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
68 |
67 |
$200.16 |
| 90723 |
|
285 |
283 |
$150.00 |
| 90744 |
|
421 |
419 |
$136.18 |
| 90707 |
|
39 |
38 |
$76.00 |
| 81000 |
|
27 |
27 |
$37.35 |
| 3077F |
|
2,161 |
2,018 |
$0.26 |
| 3080F |
|
1,089 |
1,025 |
$0.13 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
1,063 |
1,004 |
$0.00 |
| 98967 |
|
13 |
13 |
$0.00 |
| 3044F |
|
40 |
39 |
$0.00 |
| 1111F |
|
16 |
16 |
$0.00 |
| 0503F |
|
25 |
25 |
$0.00 |
| 36416 |
|
26 |
26 |
$0.00 |
| 91301 |
|
20 |
20 |
$0.00 |
| 99080 |
|
8,023 |
7,736 |
$0.00 |
| 99499 |
|
2,269 |
2,209 |
$0.00 |
| 91321 |
|
24 |
24 |
$0.00 |