| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,269 |
1,261 |
$275K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
10,108 |
4,029 |
$166K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
398,154 |
355,254 |
$70K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,947 |
1,923 |
$32K |
| 99222 |
Initial hospital care, per day, moderate complexity |
949 |
939 |
$26K |
| 99243 |
|
1,854 |
1,845 |
$19K |
| 99223 |
Prolong inpt eval add15 m |
312 |
309 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
226,729 |
203,145 |
$12K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
368 |
357 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
280 |
112 |
$8K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
252 |
252 |
$7K |
| 59514 |
|
25 |
25 |
$6K |
| 11721 |
|
882 |
880 |
$5K |
| 99242 |
|
427 |
425 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32,705 |
31,065 |
$3K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
51,569 |
51,378 |
$2K |
| 81002 |
|
68,046 |
59,742 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
198 |
90 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
8,182 |
8,021 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
219 |
215 |
$2K |
| 76813 |
|
75 |
75 |
$2K |
| 85018 |
|
53,581 |
53,043 |
$2K |
| 81025 |
|
42,827 |
40,535 |
$1K |
| 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 |
27,798 |
22,349 |
$1K |
| 99173 |
|
26,546 |
26,457 |
$1K |
| 82962 |
|
23,092 |
21,472 |
$1K |
| 92551 |
|
30,036 |
29,923 |
$917.23 |
| 90686 |
|
21,850 |
21,751 |
$843.19 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13,157 |
13,054 |
$825.10 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13,086 |
13,040 |
$784.08 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13,104 |
11,264 |
$740.90 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
809 |
703 |
$656.54 |
| 92133 |
|
67 |
67 |
$566.19 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
73 |
71 |
$474.71 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12,852 |
12,743 |
$407.55 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
7,801 |
7,790 |
$390.86 |
| 90651 |
|
2,762 |
2,755 |
$357.44 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
10,299 |
10,138 |
$351.08 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
18,625 |
18,542 |
$331.05 |
| 90715 |
|
4,676 |
4,651 |
$322.20 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
4,010 |
3,639 |
$285.01 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
26,122 |
19,514 |
$245.91 |
| 99241 |
|
12 |
12 |
$245.60 |
| 3072F |
|
53 |
53 |
$229.26 |
| 86580 |
|
657 |
650 |
$227.96 |
| 99174 |
|
7,267 |
7,244 |
$188.40 |
| 20550 |
|
54 |
53 |
$146.37 |
| 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) |
7,076 |
6,941 |
$134.34 |
| 90734 |
|
1,897 |
1,886 |
$105.43 |
| J3490 |
Unclassified drugs |
4,933 |
4,683 |
$87.73 |
| 99219 |
|
235 |
228 |
$69.60 |
| 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 |
37 |
35 |
$58.70 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
9,084 |
9,010 |
$52.52 |
| 2022F |
|
14 |
14 |
$48.00 |
| 90633 |
|
3,852 |
3,835 |
$45.93 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
358 |
350 |
$39.95 |
| 92015 |
Determination of refractive state |
174 |
174 |
$32.01 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
4,259 |
4,154 |
$25.89 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
433 |
427 |
$20.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,830 |
1,659 |
$0.05 |
| 3074F |
|
6,651 |
6,253 |
$0.00 |
| 90680 |
|
3,129 |
3,112 |
$0.00 |
| 3075F |
|
3,281 |
3,199 |
$0.00 |
| 2023F |
|
416 |
416 |
$0.00 |
| 96151 |
|
425 |
424 |
$0.00 |
| 90647 |
|
2,689 |
2,665 |
$0.00 |
| 3080F |
|
922 |
862 |
$0.00 |
| 3044F |
|
701 |
701 |
$0.00 |
| 90723 |
|
2,346 |
2,336 |
$0.00 |
| 93000 |
|
1,319 |
1,290 |
$0.00 |
| 90716 |
|
282 |
280 |
$0.00 |
| 11976 |
|
178 |
172 |
$0.00 |
| 3079F |
|
5,337 |
5,115 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
4,414 |
3,620 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
381 |
324 |
$0.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
366 |
348 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
524 |
523 |
$0.00 |
| 99406 |
|
1,034 |
959 |
$0.00 |
| 96156 |
|
819 |
810 |
$0.00 |
| 90698 |
|
1,373 |
1,369 |
$0.00 |
| 90744 |
|
542 |
539 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
136 |
134 |
$0.00 |
| 59430 |
|
946 |
916 |
$0.00 |
| 92250 |
|
19 |
19 |
$0.00 |
| 0011A |
|
73 |
73 |
$0.00 |
| 90688 |
|
98 |
98 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
157 |
131 |
$0.00 |
| H2000 |
Comprehensive multidisciplinary evaluation |
213 |
213 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
231 |
227 |
$0.00 |
| 0012A |
|
12 |
12 |
$0.00 |
| 90696 |
|
68 |
68 |
$0.00 |
| 90732 |
|
248 |
247 |
$0.00 |
| 11730 |
|
25 |
25 |
$0.00 |
| 3052F |
|
13 |
13 |
$0.00 |
| 0636 |
|
20 |
20 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
54 |
54 |
$0.00 |
| 58301 |
|
12 |
12 |
$0.00 |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
12 |
12 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,537 |
7,487 |
$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 |
1,349 |
1,349 |
$0.00 |
| 3078F |
|
7,348 |
6,857 |
$0.00 |
| G9920 |
Screening performed and negative |
12,947 |
12,920 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
9,537 |
9,393 |
$0.00 |
| 3077F |
|
3,688 |
3,411 |
$0.00 |
| 90670 |
|
8,560 |
8,508 |
$0.00 |
| 97803 |
|
1,470 |
1,435 |
$0.00 |
| 83655 |
|
3,384 |
3,360 |
$0.00 |
| G9357 |
Post-partum screenings, evaluations and education performed |
1,147 |
1,091 |
$0.00 |
| H1000 |
Prenatal care, at-risk assessment |
1,398 |
1,397 |
$0.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
3,048 |
3,042 |
$0.00 |
| 90700 |
|
2,289 |
2,277 |
$0.00 |
| 59425 |
|
1,343 |
1,097 |
$0.00 |
| 99401 |
|
1,709 |
1,618 |
$0.00 |
| 90707 |
|
266 |
264 |
$0.00 |
| 90710 |
|
757 |
753 |
$0.00 |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
1,429 |
1,427 |
$0.00 |
| 99201 |
|
1,014 |
853 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
140 |
138 |
$0.00 |
| 11981 |
|
150 |
150 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
278 |
277 |
$0.00 |
| 3046F |
|
354 |
354 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
506 |
506 |
$0.00 |
| 11750 |
|
13 |
13 |
$0.00 |
| 98940 |
|
128 |
123 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
32 |
30 |
$0.00 |
| 90713 |
|
243 |
241 |
$0.00 |
| 96158 |
|
134 |
132 |
$0.00 |
| 90648 |
|
67 |
67 |
$0.00 |
| 90685 |
|
61 |
61 |
$0.00 |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
166 |
166 |
$0.00 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
103 |
58 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
61 |
60 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
166 |
166 |
$0.00 |
| 3051F |
|
96 |
96 |
$0.00 |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
77 |
58 |
$0.00 |
| 90746 |
|
26 |
26 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
13 |
12 |
$0.00 |
| 96152 |
|
53 |
53 |
$0.00 |
| 69209 |
|
27 |
24 |
$0.00 |
| 90621 |
|
12 |
12 |
$0.00 |