| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,876 |
21,265 |
$6.46M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,969 |
15,289 |
$3.39M |
| 90834 |
Psychotherapy, 45 minutes with patient |
6,352 |
3,464 |
$1.08M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,244 |
1,928 |
$689K |
| 96127 |
|
2,686 |
2,256 |
$496K |
| 99215 |
Prolong outpt/office vis |
3,523 |
2,721 |
$448K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,353 |
1,291 |
$311K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
790 |
764 |
$264K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
582 |
557 |
$199K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
415 |
400 |
$121K |
| 90837 |
Psychotherapy, 53 minutes with patient |
424 |
251 |
$118K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
271 |
262 |
$91K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
347 |
294 |
$75K |
| 90832 |
Psychotherapy, 30 minutes with patient |
513 |
371 |
$50K |
| 99173 |
|
84 |
81 |
$34K |
| 90791 |
Psychiatric diagnostic evaluation |
76 |
69 |
$26K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
115 |
98 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,325 |
6,793 |
$21K |
| 90686 |
|
3,141 |
2,897 |
$11K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
54 |
52 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
40 |
32 |
$6K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
132 |
74 |
$6K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
157 |
145 |
$5K |
| 99174 |
|
101 |
95 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,017 |
2,862 |
$4K |
| 11721 |
|
245 |
167 |
$4K |
| 99205 |
Prolong outpt/office vis |
13 |
12 |
$4K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
42 |
41 |
$4K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
79 |
44 |
$3K |
| 99177 |
|
26 |
26 |
$3K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
60 |
57 |
$3K |
| 90651 |
|
162 |
155 |
$3K |
| 90670 |
|
401 |
388 |
$3K |
| 90734 |
|
84 |
84 |
$858.01 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
492 |
473 |
$456.90 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
22 |
13 |
$373.04 |
| D1206 |
Topical application of fluoride varnish |
434 |
410 |
$276.04 |
| 90648 |
|
419 |
403 |
$201.64 |
| 90633 |
|
43 |
42 |
$190.95 |
| 90863 |
|
66 |
44 |
$184.76 |
| 90723 |
|
154 |
148 |
$183.18 |
| D0145 |
Oral evaluation for a patient under three years of age |
130 |
121 |
$146.00 |
| 90685 |
|
119 |
104 |
$134.51 |
| 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 |
16 |
13 |
$58.32 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
221 |
220 |
$0.00 |
| 90677 |
|
75 |
70 |
$0.00 |
| 90480 |
|
43 |
43 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
118 |
87 |
$0.00 |
| 91321 |
|
33 |
33 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |