| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,311 |
18,208 |
$3.51M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,770 |
15,118 |
$2.69M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,811 |
9,641 |
$2.37M |
| 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 |
8,937 |
6,624 |
$515K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,751 |
1,288 |
$268K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,743 |
1,275 |
$221K |
| 99443 |
|
315 |
279 |
$65K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
291 |
274 |
$56K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
266 |
222 |
$55K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
706 |
544 |
$55K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
173 |
165 |
$37K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
198 |
169 |
$35K |
| 99215 |
Prolong outpt/office vis |
189 |
160 |
$30K |
| 0011A |
|
520 |
445 |
$14K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
368 |
255 |
$14K |
| 99442 |
|
188 |
140 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,463 |
6,855 |
$12K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
66 |
63 |
$11K |
| 0012A |
|
392 |
342 |
$10K |
| 99441 |
|
64 |
55 |
$10K |
| 90677 |
|
67 |
66 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
24 |
$5K |
| 99201 |
|
20 |
20 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
26 |
26 |
$5K |
| 0002A |
|
108 |
105 |
$4K |
| 98968 |
|
27 |
19 |
$4K |
| 0001A |
|
93 |
88 |
$3K |
| 0064A |
|
145 |
133 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
246 |
208 |
$2K |
| 81025 |
|
623 |
590 |
$2K |
| 0072A |
|
60 |
60 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,332 |
1,214 |
$2K |
| 0004A |
|
47 |
45 |
$2K |
| 0071A |
|
39 |
39 |
$1K |
| 0134A |
|
43 |
41 |
$1K |
| 82948 |
|
3,818 |
3,209 |
$760.02 |
| 92552 |
|
1,793 |
1,616 |
$307.62 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
16 |
$288.57 |
| 99173 |
|
1,636 |
1,480 |
$203.89 |
| 86580 |
|
55 |
54 |
$123.53 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
431 |
374 |
$121.32 |
| 90662 |
|
81 |
75 |
$118.00 |
| 90686 |
|
1,352 |
1,241 |
$99.29 |
| 90688 |
|
559 |
495 |
$60.75 |
| 90658 |
|
878 |
850 |
$40.74 |
| 90715 |
|
13 |
13 |
$35.00 |
| 81002 |
|
29 |
26 |
$3.72 |
| 91306 |
|
193 |
184 |
$0.19 |
| 91307 |
|
206 |
182 |
$0.18 |
| 91300 |
|
368 |
324 |
$0.16 |
| 91301 |
|
952 |
836 |
$0.08 |
| 91313 |
|
27 |
26 |
$0.04 |
| 1159F |
|
44 |
41 |
$0.00 |
| 90670 |
|
159 |
134 |
$0.00 |
| 90461 |
|
171 |
153 |
$0.00 |
| V2020 |
Frames, purchases |
222 |
188 |
$0.00 |
| 90707 |
|
69 |
67 |
$0.00 |
| 92015 |
Determination of refractive state |
507 |
443 |
$0.00 |
| 80061 |
Lipid panel |
44 |
44 |
$0.00 |
| 90648 |
|
19 |
12 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
88 |
81 |
$0.00 |
| 1160F |
|
44 |
41 |
$0.00 |
| 90681 |
|
13 |
13 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
27 |
26 |
$0.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
16 |
14 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
948 |
838 |
$0.00 |
| 92250 |
|
592 |
525 |
$0.00 |
| V2756 |
Eye glass case |
218 |
188 |
$0.00 |
| 1126F |
|
30 |
27 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
152 |
143 |
$0.00 |
| 90656 |
|
90 |
90 |
$0.00 |
| 90480 |
|
12 |
12 |
$0.00 |
| 85018 |
|
12 |
12 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
26 |
25 |
$0.00 |