| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,390 |
15,684 |
$673K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,444 |
3,815 |
$244K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,561 |
3,200 |
$133K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,033 |
1,606 |
$86K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,021 |
915 |
$64K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,971 |
1,344 |
$62K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,668 |
3,231 |
$54K |
| 90677 |
|
1,795 |
1,566 |
$45K |
| 90697 |
|
1,654 |
1,403 |
$42K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,019 |
829 |
$24K |
| 99381 |
|
375 |
338 |
$24K |
| 90834 |
Psychotherapy, 45 minutes with patient |
472 |
254 |
$19K |
| 90715 |
|
540 |
471 |
$19K |
| 59025 |
Fetal non-stress test |
587 |
361 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,125 |
1,735 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
5,316 |
4,341 |
$8K |
| 59430 |
|
79 |
62 |
$7K |
| 3008F |
|
32,955 |
25,972 |
$6K |
| 59426 |
|
16 |
12 |
$5K |
| 90688 |
|
896 |
753 |
$4K |
| 90381 |
|
43 |
21 |
$3K |
| 90670 |
|
941 |
789 |
$3K |
| 90680 |
|
1,921 |
1,660 |
$3K |
| 99408 |
|
375 |
281 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
26 |
18 |
$2K |
| 3074F |
|
26,362 |
21,018 |
$2K |
| 92552 |
|
150 |
149 |
$2K |
| 90686 |
|
176 |
137 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
46 |
37 |
$2K |
| 3078F |
|
22,826 |
18,277 |
$2K |
| 99442 |
|
76 |
68 |
$2K |
| 96160 |
|
683 |
664 |
$2K |
| 99173 |
|
324 |
297 |
$1K |
| 81002 |
|
686 |
554 |
$1K |
| 90461 |
|
2,002 |
831 |
$1K |
| 85018 |
|
498 |
447 |
$970.62 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
74 |
39 |
$956.87 |
| 0031A |
|
34 |
28 |
$898.56 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$882.84 |
| 81025 |
|
667 |
573 |
$866.46 |
| 90658 |
|
133 |
112 |
$840.53 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
74 |
57 |
$817.79 |
| 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 |
366 |
240 |
$707.53 |
| 90674 |
|
48 |
42 |
$638.00 |
| 0012A |
|
15 |
13 |
$545.90 |
| 90756 |
|
34 |
27 |
$538.92 |
| 90380 |
|
28 |
16 |
$509.36 |
| 96127 |
|
135 |
102 |
$417.67 |
| 90687 |
|
183 |
160 |
$385.76 |
| 3079F |
|
2,145 |
1,647 |
$370.00 |
| 90716 |
|
114 |
105 |
$326.65 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
35 |
28 |
$271.08 |
| 90473 |
|
97 |
80 |
$260.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
39 |
37 |
$240.75 |
| 82962 |
|
88 |
65 |
$176.34 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
13 |
$176.06 |
| 90661 |
|
29 |
26 |
$140.00 |
| 90707 |
|
100 |
91 |
$112.95 |
| 90698 |
|
75 |
70 |
$92.68 |
| 36416 |
|
69 |
53 |
$70.35 |
| 1160F |
|
13 |
13 |
$60.00 |
| 90633 |
|
210 |
186 |
$52.56 |
| 90657 |
|
289 |
247 |
$51.19 |
| 3075F |
|
179 |
129 |
$20.00 |
| 0503F |
|
116 |
103 |
$0.45 |
| S9452 |
Nutrition classes, non-physician provider, per session |
33,814 |
26,615 |
$0.09 |
| 2014F |
|
1,789 |
1,383 |
$0.00 |
| 0502F |
|
15,949 |
12,553 |
$0.00 |
| 90648 |
|
17 |
16 |
$0.00 |
| 1003F |
|
559 |
504 |
$0.00 |
| 0501F |
|
744 |
634 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
684 |
560 |
$0.00 |
| 90744 |
|
13 |
13 |
$0.00 |