| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,040 |
9,744 |
$76K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,257 |
9,047 |
$31K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
98 |
81 |
$9K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
1,366 |
1,366 |
$6K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,108 |
700 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
517 |
509 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
51 |
51 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
81 |
69 |
$797.21 |
| 96127 |
|
1,022 |
919 |
$572.03 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
14 |
14 |
$568.92 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
18 |
18 |
$446.49 |
| 36415 |
Collection of venous blood by venipuncture |
3,375 |
3,126 |
$39.09 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
592 |
536 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,143 |
810 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
1,071 |
984 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
501 |
492 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
346 |
339 |
$0.00 |
| 3288F |
|
171 |
152 |
$0.00 |
| 81003 |
|
932 |
793 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
12 |
12 |
$0.00 |
| 90682 |
|
13 |
13 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
66 |
34 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
52 |
52 |
$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 |
42 |
38 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
25 |
$0.00 |
| 81025 |
|
14 |
13 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
539 |
441 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
244 |
237 |
$0.00 |
| 90656 |
|
12 |
12 |
$0.00 |
| 90697 |
|
12 |
12 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
14 |
12 |
$0.00 |
| 99024 |
|
28 |
26 |
$0.00 |
| 1101F |
|
74 |
64 |
$0.00 |
| 90686 |
|
23 |
23 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
40 |
31 |
$0.00 |