| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,961 |
18,917 |
$3.80M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,461 |
10,746 |
$2.09M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,658 |
1,783 |
$338K |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
1,648 |
1,031 |
$171K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,501 |
1,030 |
$40K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,154 |
954 |
$34K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
405 |
212 |
$32K |
| H0031 |
Mental health assessment, by non-physician |
198 |
113 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
158 |
135 |
$27K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
133 |
101 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
151 |
93 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
82 |
72 |
$14K |
| 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 |
541 |
321 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
32 |
25 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
56 |
53 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
46 |
12 |
$1K |
| 90461 |
|
417 |
217 |
$397.96 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
6,645 |
5,103 |
$225.99 |
| 90686 |
|
196 |
182 |
$0.00 |
| 90688 |
|
1,290 |
1,089 |
$0.00 |
| 90651 |
|
23 |
19 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
14 |
13 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
29 |
29 |
$0.00 |
| 96127 |
|
12 |
12 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
522 |
496 |
$0.00 |
| 81025 |
|
14 |
14 |
$0.00 |
| 81002 |
|
127 |
81 |
$0.00 |
| 99173 |
|
17 |
14 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
40 |
40 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
12 |
12 |
$0.00 |
| 1160F |
|
50 |
49 |
$0.00 |
| 90734 |
|
17 |
13 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |