| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,108 |
9,539 |
$359K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,659 |
7,342 |
$340K |
| 99442 |
|
2,356 |
2,225 |
$86K |
| 99443 |
|
589 |
566 |
$32K |
| 90834 |
Psychotherapy, 45 minutes with patient |
391 |
308 |
$20K |
| 0012A |
|
338 |
338 |
$13K |
| 90686 |
|
1,037 |
1,029 |
$13K |
| 0011A |
|
349 |
349 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,150 |
1,131 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
3,964 |
3,851 |
$10K |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
401 |
205 |
$8K |
| 99441 |
|
339 |
320 |
$7K |
| G9149 |
National committee for quality assurance - level 2 medical home |
36 |
36 |
$6K |
| 90832 |
Psychotherapy, 30 minutes with patient |
145 |
129 |
$6K |
| 90480 |
|
96 |
95 |
$4K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
264 |
231 |
$3K |
| 90688 |
|
233 |
231 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
150 |
146 |
$3K |
| 90674 |
|
76 |
75 |
$2K |
| 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 |
2,809 |
2,463 |
$2K |
| 0124A |
|
41 |
41 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
20 |
14 |
$1K |
| T1015 |
Clinic visit/encounter, all-inclusive |
13 |
12 |
$1K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
18 |
17 |
$984.13 |
| 80053 |
Comprehensive metabolic panel |
99 |
99 |
$957.60 |
| 80061 |
Lipid panel |
73 |
73 |
$896.53 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
24 |
24 |
$824.13 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
24 |
24 |
$824.13 |
| 80050 |
General health panel |
21 |
21 |
$686.91 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
66 |
66 |
$583.46 |
| 84443 |
Thyroid stimulating hormone (TSH) |
37 |
37 |
$556.85 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
69 |
69 |
$489.48 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$478.19 |
| 80305 |
|
47 |
40 |
$451.05 |
| T1016 |
Case management, each 15 minutes |
36 |
32 |
$180.00 |
| 36416 |
|
101 |
98 |
$167.20 |
| 84439 |
|
13 |
13 |
$104.91 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
14 |
14 |
$101.22 |
| 82570 |
|
12 |
12 |
$55.68 |
| 3074F |
|
5,305 |
5,071 |
$4.00 |
| 3078F |
|
5,743 |
5,500 |
$4.00 |
| 91301 |
|
455 |
455 |
$0.00 |
| 3079F |
|
30 |
30 |
$0.00 |
| 3077F |
|
73 |
70 |
$0.00 |