| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,882 |
15,723 |
$3.73M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,036 |
5,533 |
$1.14M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
720 |
668 |
$168K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,055 |
2,985 |
$96K |
| 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 |
1,767 |
1,561 |
$38K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
455 |
223 |
$15K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
38 |
38 |
$12K |
| 99000 |
|
2,931 |
2,220 |
$8K |
| 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 |
663 |
465 |
$7K |
| D0999 |
Unspecified diagnostic procedure, by report |
19 |
19 |
$6K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
210 |
115 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
18 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
22 |
12 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$3K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
152 |
119 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
503 |
468 |
$1K |
| 97161 |
|
45 |
45 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
33 |
28 |
$246.54 |
| 90677 |
|
14 |
13 |
$105.00 |
| 81002 |
|
448 |
397 |
$0.00 |
| 90715 |
|
25 |
25 |
$0.00 |
| 82947 |
|
191 |
183 |
$0.00 |
| 81025 |
|
41 |
40 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
13 |
$0.00 |
| 99173 |
|
47 |
47 |
$0.00 |
| D0190 |
|
19 |
19 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
536 |
515 |
$0.00 |
| 90656 |
|
71 |
70 |
$0.00 |
| 90686 |
|
715 |
705 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
28 |
27 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
392 |
387 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
39 |
39 |
$0.00 |