| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,797 |
2,861 |
$211K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,900 |
3,641 |
$191K |
| T1015 |
Clinic visit/encounter, all-inclusive |
4,535 |
3,166 |
$62K |
| 90837 |
Psychotherapy, 53 minutes with patient |
383 |
246 |
$25K |
| 99401 |
|
896 |
698 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
370 |
258 |
$12K |
| 90832 |
Psychotherapy, 30 minutes with patient |
388 |
210 |
$10K |
| 90834 |
Psychotherapy, 45 minutes with patient |
195 |
135 |
$9K |
| 90677 |
|
52 |
48 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
524 |
453 |
$4K |
| 90686 |
|
246 |
195 |
$3K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
24 |
12 |
$1K |
| 0064A |
|
95 |
62 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$1K |
| 90674 |
|
44 |
44 |
$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 |
65 |
38 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
157 |
125 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
939 |
753 |
$953.92 |
| 90715 |
|
79 |
73 |
$933.15 |
| 96127 |
|
300 |
141 |
$912.80 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
39 |
30 |
$794.48 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
59 |
54 |
$471.22 |
| 90480 |
|
44 |
35 |
$350.55 |
| 0124A |
|
25 |
19 |
$342.30 |
| 0054A |
|
12 |
12 |
$332.10 |
| 90630 |
|
59 |
57 |
$285.64 |
| 83037 |
|
54 |
40 |
$243.85 |
| 90694 |
|
14 |
14 |
$200.03 |
| 99386 |
|
30 |
30 |
$109.50 |
| 99385 |
|
67 |
60 |
$107.55 |
| 81025 |
|
19 |
13 |
$4.61 |
| 3077F |
|
42 |
38 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
13 |
12 |
$0.00 |
| 91322 |
|
43 |
34 |
$0.00 |
| 4000F |
|
115 |
97 |
$0.00 |
| 3008F |
|
294 |
252 |
$0.00 |