| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,507 |
8,529 |
$617K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,951 |
4,547 |
$348K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
654 |
621 |
$37K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
301 |
292 |
$30K |
| 90834 |
Psychotherapy, 45 minutes with patient |
304 |
159 |
$19K |
| H1000 |
Prenatal care, at-risk assessment |
77 |
64 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
102 |
100 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
100 |
89 |
$8K |
| 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 |
760 |
423 |
$4K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
30 |
14 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
880 |
834 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
80 |
75 |
$2K |
| 99215 |
Prolong outpt/office vis |
30 |
27 |
$2K |
| 0012A |
|
22 |
22 |
$880.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
301 |
279 |
$839.50 |
| 85018 |
|
1,745 |
1,723 |
$707.47 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,126 |
1,092 |
$663.14 |
| 81002 |
|
1,830 |
1,770 |
$433.08 |
| 1220F |
|
7,906 |
7,144 |
$300.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
220 |
218 |
$202.32 |
| 1125F |
|
2,085 |
1,944 |
$163.84 |
| 81025 |
|
197 |
190 |
$105.33 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
67 |
66 |
$61.60 |
| 90686 |
|
75 |
72 |
$47.33 |
| 36416 |
|
1,554 |
1,508 |
$34.12 |
| 3074F |
|
7,761 |
7,188 |
$14.93 |
| 36415 |
Collection of venous blood by venipuncture |
605 |
582 |
$2.32 |
| 85014 |
|
37 |
36 |
$1.62 |
| 1000F |
|
8,299 |
7,384 |
$0.22 |
| 1126F |
|
4,975 |
4,631 |
$0.04 |
| 3078F |
|
7,499 |
6,875 |
$0.03 |
| 3077F |
|
75 |
69 |
$0.02 |
| 1159F |
|
7,350 |
6,677 |
$0.02 |
| 1036F |
|
6,534 |
5,864 |
$0.01 |
| 3079F |
|
1,221 |
1,136 |
$0.00 |
| 1034F |
|
955 |
856 |
$0.00 |
| 92551 |
|
319 |
316 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
32 |
27 |
$0.00 |
| 3075F |
|
588 |
562 |
$0.00 |
| 3044F |
|
38 |
37 |
$0.00 |
| 90651 |
|
31 |
30 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |
| 99173 |
|
888 |
867 |
$0.00 |
| 3016F |
|
33 |
32 |
$0.00 |
| 1158F |
|
102 |
97 |
$0.00 |