| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,117 |
10,919 |
$1.32M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,327 |
9,981 |
$1.27M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,495 |
265 |
$316K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
444 |
154 |
$88K |
| 90834 |
Psychotherapy, 45 minutes with patient |
146 |
53 |
$38K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
287 |
285 |
$38K |
| 1036F |
|
6,937 |
5,898 |
$30K |
| 36415 |
Collection of venous blood by venipuncture |
7,268 |
6,444 |
$24K |
| 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 |
707 |
594 |
$23K |
| 90791 |
Psychiatric diagnostic evaluation |
64 |
39 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
147 |
121 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
920 |
878 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
40 |
$6K |
| 1160F |
|
9,121 |
7,754 |
$5K |
| 90686 |
|
746 |
708 |
$5K |
| 96127 |
|
5,532 |
3,616 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
191 |
175 |
$3K |
| 90688 |
|
179 |
178 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,412 |
2,181 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 3008F |
|
10,042 |
8,783 |
$550.46 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
65 |
63 |
$526.03 |
| 99000 |
|
36 |
36 |
$434.74 |
| 99408 |
|
1,278 |
1,180 |
$353.28 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
37 |
26 |
$327.59 |
| 3074F |
|
6,054 |
5,460 |
$176.64 |
| 3078F |
|
5,832 |
5,244 |
$143.58 |
| 81002 |
|
15 |
14 |
$33.70 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
530 |
491 |
$31.59 |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
76 |
74 |
$20.40 |
| 99409 |
|
1,147 |
1,054 |
$0.05 |
| 3725F |
|
3,677 |
3,312 |
$0.00 |
| 3077F |
|
1,117 |
1,005 |
$0.00 |
| 99173 |
|
13 |
13 |
$0.00 |
| 3075F |
|
1,498 |
1,418 |
$0.00 |
| 3080F |
|
843 |
787 |
$0.00 |
| 3079F |
|
2,065 |
1,914 |
$0.00 |
| 1000F |
|
38 |
37 |
$0.00 |
| 90656 |
|
21 |
20 |
$0.00 |
| 92551 |
|
12 |
12 |
$0.00 |
| 36416 |
|
12 |
12 |
$0.00 |