| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,155 |
11,827 |
$826K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,979 |
2,548 |
$269K |
| 90837 |
Psychotherapy, 53 minutes with patient |
478 |
281 |
$50K |
| 90834 |
Psychotherapy, 45 minutes with patient |
656 |
347 |
$43K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
337 |
333 |
$23K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
149 |
143 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
321 |
299 |
$23K |
| 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 |
491 |
408 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
221 |
209 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
314 |
294 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
94 |
94 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
54 |
54 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$2K |
| 81003 |
|
539 |
404 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
19 |
15 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
79 |
77 |
$1K |
| 80053 |
Comprehensive metabolic panel |
26 |
25 |
$347.01 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$317.76 |
| 87807 |
|
21 |
21 |
$220.08 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
14 |
$198.30 |
| 82044 |
|
14 |
12 |
$79.02 |
| 36415 |
Collection of venous blood by venipuncture |
32 |
26 |
$69.92 |