| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,662 |
10,290 |
$695K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,891 |
4,384 |
$358K |
| 90837 |
Psychotherapy, 53 minutes with patient |
531 |
280 |
$83K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
3,520 |
3,345 |
$58K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
534 |
496 |
$32K |
| 99402 |
|
567 |
331 |
$24K |
| 90832 |
Psychotherapy, 30 minutes with patient |
135 |
71 |
$10K |
| 99385 |
|
65 |
64 |
$8K |
| 99442 |
|
224 |
169 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
2,727 |
2,569 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
566 |
539 |
$4K |
| 96152 |
|
28 |
16 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
73 |
69 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
43 |
42 |
$2K |
| 90686 |
|
122 |
121 |
$2K |
| 96158 |
|
47 |
30 |
$2K |
| 99422 |
|
76 |
65 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
12 |
$2K |
| 90688 |
|
70 |
70 |
$1K |
| 99403 |
|
19 |
13 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
14 |
$1K |
| 0064A |
|
36 |
34 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
30 |
$1K |
| 99443 |
|
26 |
16 |
$1K |
| 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 |
986 |
729 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
802 |
448 |
$1K |
| 0012A |
|
15 |
15 |
$560.00 |
| 0011A |
|
12 |
12 |
$480.00 |
| 98967 |
|
17 |
17 |
$442.00 |
| 0071A |
|
12 |
12 |
$440.00 |
| 90715 |
|
14 |
14 |
$416.97 |
| 0072A |
|
13 |
13 |
$400.00 |
| 96160 |
|
627 |
620 |
$206.56 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
55 |
47 |
$104.84 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
30 |
30 |
$90.17 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$60.67 |
| 81002 |
|
13 |
13 |
$24.76 |
| 36416 |
|
28 |
28 |
$9.72 |