| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,251 |
17,661 |
$5.18M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,830 |
9,502 |
$2.31M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,015 |
5,336 |
$1.54M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,782 |
2,600 |
$771K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,459 |
2,253 |
$677K |
| T1015 |
Clinic visit/encounter, all-inclusive |
3,204 |
1,695 |
$655K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,424 |
2,225 |
$646K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,657 |
1,510 |
$446K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
830 |
757 |
$231K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
657 |
604 |
$188K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
135 |
120 |
$28K |
| 99381 |
|
61 |
56 |
$21K |
| 90670 |
|
1,899 |
1,760 |
$11K |
| 90698 |
|
1,689 |
1,573 |
$10K |
| 99383 |
|
32 |
28 |
$9K |
| 90688 |
|
1,257 |
1,168 |
$8K |
| 90686 |
|
1,602 |
1,473 |
$7K |
| 90677 |
|
329 |
313 |
$7K |
| 90681 |
|
839 |
774 |
$6K |
| 90734 |
|
588 |
507 |
$6K |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
29 |
13 |
$5K |
| 99385 |
|
20 |
15 |
$5K |
| 90633 |
|
852 |
790 |
$5K |
| 90649 |
|
706 |
608 |
$5K |
| 99386 |
|
16 |
14 |
$5K |
| 90710 |
|
572 |
529 |
$4K |
| 90744 |
|
525 |
482 |
$3K |
| 90723 |
|
394 |
342 |
$3K |
| 0513F |
|
454 |
366 |
$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 |
272 |
262 |
$1K |
| 90647 |
|
138 |
123 |
$958.47 |
| 90715 |
|
117 |
112 |
$783.89 |
| 90697 |
|
64 |
61 |
$728.88 |
| 90673 |
|
104 |
95 |
$626.66 |
| 90648 |
|
46 |
45 |
$464.70 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
80 |
79 |
$432.00 |
| 90696 |
|
42 |
42 |
$302.64 |
| 2015F |
|
25 |
14 |
$240.00 |
| 90687 |
|
40 |
35 |
$209.52 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
25 |
25 |
$175.50 |
| 3011F |
|
47 |
46 |
$150.00 |
| 90682 |
|
28 |
27 |
$87.76 |
| 3008F |
|
157 |
153 |
$58.00 |
| 90713 |
|
15 |
15 |
$23.28 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
107 |
95 |
$0.00 |