| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,372 |
17,222 |
$3.34M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,346 |
12,677 |
$2.26M |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,061 |
2,978 |
$737K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,298 |
992 |
$226K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
817 |
810 |
$155K |
| 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 |
3,447 |
3,054 |
$114K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
440 |
438 |
$50K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
316 |
302 |
$45K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
171 |
170 |
$34K |
| 99215 |
Prolong outpt/office vis |
171 |
169 |
$34K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
139 |
139 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
115 |
110 |
$22K |
| 90791 |
Psychiatric diagnostic evaluation |
107 |
105 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
95 |
95 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
88 |
86 |
$18K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
193 |
114 |
$12K |
| 99383 |
|
41 |
41 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,037 |
2,969 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
24 |
24 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
588 |
581 |
$1K |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
18 |
18 |
$425.36 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
970 |
966 |
$281.98 |
| 90688 |
|
481 |
476 |
$185.15 |
| 81025 |
|
3,305 |
3,122 |
$163.48 |
| 81002 |
|
1,536 |
1,127 |
$62.70 |
| 86580 |
|
13 |
13 |
$56.15 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
68 |
67 |
$37.64 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
71 |
71 |
$33.76 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
126 |
126 |
$11.63 |
| 99173 |
|
1,037 |
1,032 |
$2.52 |
| 82962 |
|
199 |
183 |
$1.74 |
| 92551 |
|
486 |
485 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
45 |
43 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
70 |
69 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
77 |
74 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
152 |
151 |
$0.00 |