| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,205 |
26,254 |
$5.13M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,688 |
4,398 |
$809K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
755 |
741 |
$157K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
737 |
668 |
$154K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
576 |
526 |
$111K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
290 |
270 |
$55K |
| 99177 |
|
611 |
574 |
$48K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
217 |
216 |
$43K |
| 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 |
1,282 |
1,077 |
$38K |
| 92551 |
|
602 |
517 |
$35K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
192 |
190 |
$32K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
159 |
158 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
147 |
140 |
$29K |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,963 |
1,904 |
$27K |
| 99173 |
|
375 |
355 |
$21K |
| 99215 |
Prolong outpt/office vis |
99 |
85 |
$20K |
| 99188 |
|
99 |
96 |
$15K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
65 |
65 |
$12K |
| 90686 |
|
155 |
155 |
$3K |
| 90723 |
|
18 |
18 |
$3K |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
20 |
19 |
$1K |
| 93000 |
|
13 |
13 |
$1K |
| 90633 |
|
16 |
16 |
$622.53 |
| 90707 |
|
14 |
14 |
$415.02 |
| 90832 |
Psychotherapy, 30 minutes with patient |
16 |
16 |
$346.29 |
| 90670 |
|
23 |
23 |
$229.35 |
| 90716 |
|
12 |
12 |
$207.51 |
| 36416 |
|
1,757 |
1,684 |
$68.00 |
| 90648 |
|
19 |
19 |
$21.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
192 |
189 |
$0.05 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
63 |
63 |
$0.04 |
| 90687 |
|
14 |
14 |
$0.00 |