| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
102,785 |
49,432 |
$6.67M |
| 90832 |
Psychotherapy, 30 minutes with patient |
21,113 |
7,560 |
$2.32M |
| 90834 |
Psychotherapy, 45 minutes with patient |
10,585 |
4,748 |
$1.33M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,557 |
8,963 |
$1.24M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
34,158 |
8,739 |
$1.00M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
28,108 |
7,111 |
$930K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
33,679 |
8,218 |
$906K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13,997 |
5,324 |
$723K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
21,465 |
4,644 |
$553K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,653 |
4,571 |
$521K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,269 |
2,973 |
$392K |
| 99442 |
|
3,348 |
2,724 |
$311K |
| 92551 |
|
20,846 |
11,464 |
$296K |
| 99441 |
|
3,290 |
2,474 |
$294K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,340 |
843 |
$123K |
| 81003 |
|
7,111 |
4,210 |
$123K |
| 99173 |
|
12,134 |
8,034 |
$117K |
| 2022F |
|
3,390 |
1,569 |
$113K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
937 |
659 |
$96K |
| 92015 |
Determination of refractive state |
5,899 |
5,165 |
$58K |
| 97802 |
|
9,023 |
8,309 |
$51K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,264 |
10,179 |
$40K |
| 99443 |
|
381 |
205 |
$30K |
| 90461 |
|
5,594 |
5,551 |
$29K |
| 90686 |
|
6,025 |
5,550 |
$25K |
| 90863 |
|
382 |
230 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
172 |
73 |
$14K |
| 81025 |
|
1,606 |
1,477 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,014 |
901 |
$13K |
| 2023F |
|
1,583 |
1,519 |
$8K |
| 90791 |
Psychiatric diagnostic evaluation |
61 |
42 |
$8K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
44 |
40 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
647 |
636 |
$4K |
| 97803 |
|
99 |
82 |
$4K |
| 99215 |
Prolong outpt/office vis |
76 |
26 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
103 |
28 |
$3K |
| 99381 |
|
35 |
17 |
$3K |
| 99174 |
|
1,303 |
1,232 |
$2K |
| 96154 |
|
22 |
15 |
$2K |
| 90677 |
|
249 |
238 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
14 |
13 |
$2K |
| 96167 |
|
25 |
14 |
$2K |
| 90658 |
|
638 |
638 |
$2K |
| 99243 |
|
12 |
12 |
$2K |
| 90697 |
|
64 |
52 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
226 |
211 |
$1K |
| 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 |
28 |
14 |
$1K |
| 90670 |
|
1,726 |
1,702 |
$1K |
| 90480 |
|
46 |
46 |
$991.87 |
| 85018 |
|
317 |
315 |
$633.48 |
| 90633 |
|
496 |
479 |
$547.48 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
71 |
71 |
$509.80 |
| 0072A |
|
12 |
12 |
$479.40 |
| 90655 |
|
204 |
204 |
$477.29 |
| 90723 |
|
451 |
449 |
$450.00 |
| 91307 |
|
90 |
86 |
$408.25 |
| 0011A |
|
19 |
18 |
$320.39 |
| 36415 |
Collection of venous blood by venipuncture |
368 |
360 |
$319.28 |
| 90647 |
|
404 |
402 |
$225.00 |
| 91321 |
|
26 |
26 |
$153.60 |
| 90696 |
|
20 |
12 |
$127.66 |
| 90716 |
|
36 |
36 |
$96.00 |
| 90734 |
|
25 |
25 |
$85.00 |
| 90620 |
|
13 |
13 |
$80.00 |
| 90656 |
|
156 |
156 |
$79.09 |
| 90715 |
|
41 |
41 |
$49.36 |
| 90707 |
|
25 |
25 |
$40.00 |
| 96127 |
|
12 |
12 |
$32.90 |
| 90744 |
|
38 |
38 |
$26.90 |
| 90710 |
|
13 |
13 |
$0.00 |
| 90681 |
|
80 |
75 |
$0.00 |
| 90648 |
|
16 |
16 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |
| 90651 |
|
56 |
56 |
$0.00 |
| 90698 |
|
95 |
94 |
$0.00 |
| 3008F |
|
39 |
39 |
$0.00 |
| 90680 |
|
141 |
140 |
$0.00 |
| 91301 |
|
31 |
31 |
$0.00 |