| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,364 |
7,679 |
$1.26M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,023 |
1,904 |
$277K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,000 |
989 |
$189K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
757 |
747 |
$143K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
686 |
667 |
$131K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
553 |
538 |
$102K |
| 90832 |
Psychotherapy, 30 minutes with patient |
323 |
302 |
$53K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
212 |
190 |
$30K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
125 |
122 |
$19K |
| 99383 |
|
92 |
90 |
$17K |
| 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 |
1,446 |
1,207 |
$9K |
| 99384 |
|
32 |
32 |
$6K |
| 99381 |
|
26 |
26 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,501 |
3,416 |
$549.75 |
| 90677 |
|
153 |
153 |
$0.00 |
| 90632 |
|
127 |
126 |
$0.00 |
| 90651 |
|
352 |
339 |
$0.00 |
| 90698 |
|
98 |
98 |
$0.00 |
| 90686 |
|
929 |
910 |
$0.00 |
| 90696 |
|
25 |
24 |
$0.00 |
| 90697 |
|
62 |
60 |
$0.00 |
| 90680 |
|
48 |
48 |
$0.00 |
| 90744 |
|
39 |
39 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$0.00 |
| 90620 |
|
13 |
13 |
$0.00 |
| 90461 |
|
2,045 |
2,014 |
$0.00 |
| 90633 |
|
84 |
83 |
$0.00 |
| 90734 |
|
179 |
178 |
$0.00 |
| 90670 |
|
403 |
400 |
$0.00 |
| 81003 |
|
286 |
253 |
$0.00 |
| 82948 |
|
166 |
164 |
$0.00 |
| 90715 |
|
29 |
29 |
$0.00 |
| 81025 |
|
12 |
12 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 90685 |
|
23 |
23 |
$0.00 |