| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,790 |
8,985 |
$320K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,686 |
3,609 |
$102K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,785 |
2,244 |
$83K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,879 |
1,567 |
$83K |
| 90791 |
Psychiatric diagnostic evaluation |
840 |
680 |
$48K |
| 90837 |
Psychotherapy, 53 minutes with patient |
852 |
574 |
$44K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,688 |
1,459 |
$30K |
| 80305 |
|
3,226 |
2,288 |
$29K |
| 90686 |
|
2,264 |
1,945 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,999 |
1,785 |
$22K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,469 |
1,293 |
$18K |
| 36415 |
Collection of venous blood by venipuncture |
3,928 |
3,559 |
$17K |
| 99385 |
|
258 |
237 |
$16K |
| 81025 |
|
1,871 |
1,518 |
$12K |
| 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 |
1,088 |
450 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
87 |
85 |
$5K |
| 99173 |
|
215 |
200 |
$5K |
| 90632 |
|
117 |
109 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
44 |
40 |
$3K |
| 90746 |
|
56 |
54 |
$3K |
| 90461 |
|
171 |
143 |
$2K |
| 92551 |
|
204 |
192 |
$2K |
| 99408 |
|
286 |
245 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
139 |
134 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
141 |
119 |
$1K |
| 90715 |
|
38 |
37 |
$932.43 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
25 |
16 |
$826.98 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
74 |
49 |
$810.64 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
12 |
$789.75 |
| 82044 |
|
139 |
129 |
$718.79 |
| 81003 |
|
518 |
476 |
$711.02 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
89 |
78 |
$611.02 |
| 99384 |
|
13 |
12 |
$607.36 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
25 |
$324.78 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$200.88 |
| 82274 |
|
12 |
12 |
$200.20 |
| 90863 |
|
2,160 |
1,846 |
$163.79 |
| 96150 |
|
35 |
34 |
$78.75 |
| 90633 |
|
86 |
79 |
$75.25 |
| J2315 |
Injection, naltrexone, depot form, 1 mg |
829 |
739 |
$20.80 |
| 90734 |
|
15 |
14 |
$10.00 |
| 90651 |
|
31 |
27 |
$10.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
17 |
12 |
$5.91 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
5,958 |
5,197 |
$0.00 |
| 3078F |
|
3,138 |
2,840 |
$0.00 |
| 3077F |
|
298 |
263 |
$0.00 |
| T1001 |
Nursing assessment / evaluation |
103 |
85 |
$0.00 |
| 3074F |
|
3,993 |
3,618 |
$0.00 |
| 3080F |
|
320 |
289 |
$0.00 |
| 4000F |
|
1,369 |
1,178 |
$0.00 |
| 3079F |
|
1,113 |
1,029 |
$0.00 |
| 3075F |
|
375 |
343 |
$0.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
146 |
119 |
$0.00 |
| 4050F |
|
118 |
99 |
$0.00 |
| 3351F |
|
14 |
14 |
$0.00 |