| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,766 |
12,106 |
$310K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,956 |
8,122 |
$291K |
| 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 |
2,632 |
2,256 |
$59K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,278 |
900 |
$52K |
| 90837 |
Psychotherapy, 53 minutes with patient |
413 |
236 |
$30K |
| 90686 |
|
2,459 |
2,440 |
$27K |
| 99442 |
|
763 |
710 |
$27K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
283 |
278 |
$18K |
| G9149 |
National committee for quality assurance - level 2 medical home |
77 |
77 |
$17K |
| 99443 |
|
302 |
276 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,878 |
1,837 |
$13K |
| 90834 |
Psychotherapy, 45 minutes with patient |
140 |
120 |
$8K |
| 90791 |
Psychiatric diagnostic evaluation |
67 |
66 |
$6K |
| 0064A |
|
170 |
163 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
255 |
246 |
$5K |
| 0012A |
|
141 |
134 |
$5K |
| 0124A |
|
198 |
196 |
$4K |
| 0011A |
|
144 |
140 |
$3K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
144 |
135 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
37 |
37 |
$3K |
| 0031A |
|
80 |
79 |
$2K |
| 0072A |
|
79 |
77 |
$2K |
| 0071A |
|
72 |
72 |
$2K |
| 0002A |
|
51 |
50 |
$2K |
| 0001A |
|
50 |
48 |
$2K |
| 91320 |
|
25 |
25 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
36 |
36 |
$2K |
| 99384 |
|
12 |
12 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
196 |
195 |
$1K |
| 92551 |
|
350 |
347 |
$750.74 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$727.98 |
| 98968 |
|
14 |
14 |
$534.00 |
| 90656 |
|
39 |
39 |
$488.33 |
| 99441 |
|
15 |
15 |
$360.80 |
| 90651 |
|
57 |
57 |
$326.96 |
| 0054A |
|
39 |
39 |
$320.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
14 |
14 |
$309.28 |
| 80053 |
Comprehensive metabolic panel |
24 |
24 |
$239.64 |
| 92015 |
Determination of refractive state |
21 |
21 |
$233.20 |
| 99383 |
|
12 |
12 |
$230.68 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
15 |
$149.90 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
13 |
$90.48 |
| 96127 |
|
28 |
28 |
$62.83 |
| 36415 |
Collection of venous blood by venipuncture |
26 |
26 |
$56.68 |
| 99173 |
|
12 |
12 |
$13.09 |
| 3078F |
|
3,460 |
3,262 |
$0.00 |
| 91312 |
|
116 |
115 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
44 |
44 |
$0.00 |
| 91300 |
|
141 |
126 |
$0.00 |
| 90662 |
|
13 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,915 |
2,763 |
$0.00 |
| 1036F |
|
1,071 |
1,068 |
$0.00 |
| 91306 |
|
153 |
149 |
$0.00 |
| 3074F |
|
2,631 |
2,490 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
90 |
89 |
$0.00 |
| 91307 |
|
136 |
128 |
$0.00 |
| 3075F |
|
26 |
26 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
51 |
51 |
$0.00 |
| 91301 |
|
244 |
236 |
$0.00 |
| 91303 |
|
76 |
76 |
$0.00 |