| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,004 |
3,969 |
$269K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,485 |
1,771 |
$194K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
73 |
70 |
$11K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
82 |
81 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
88 |
88 |
$8K |
| 90832 |
Psychotherapy, 30 minutes with patient |
149 |
55 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
58 |
58 |
$6K |
| 90834 |
Psychotherapy, 45 minutes with patient |
130 |
79 |
$6K |
| 99385 |
|
48 |
47 |
$6K |
| 99205 |
Prolong outpt/office vis |
27 |
26 |
$5K |
| 99386 |
|
27 |
26 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
578 |
566 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
27 |
27 |
$2K |
| 98960 |
|
232 |
207 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
111 |
61 |
$2K |
| 93000 |
|
66 |
66 |
$857.46 |
| 99406 |
|
73 |
69 |
$714.53 |
| 36415 |
Collection of venous blood by venipuncture |
198 |
190 |
$693.02 |
| 36416 |
|
556 |
544 |
$655.59 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$317.99 |
| 3044F |
|
33 |
33 |
$225.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
12 |
$213.89 |
| 81002 |
|
100 |
95 |
$146.97 |
| 3046F |
|
12 |
12 |
$80.00 |
| 81025 |
|
16 |
16 |
$51.46 |
| 3077F |
|
164 |
149 |
$10.01 |
| 3075F |
|
51 |
44 |
$0.00 |
| 97802 |
|
52 |
48 |
$0.00 |
| 3074F |
|
35 |
32 |
$0.00 |
| 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 |
58 |
40 |
$0.00 |
| 3080F |
|
114 |
100 |
$0.00 |
| 3079F |
|
61 |
58 |
$0.00 |
| 99000 |
|
203 |
194 |
$0.00 |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
14 |
14 |
$0.00 |
| 3078F |
|
52 |
48 |
$0.00 |