| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,645 |
10,257 |
$2.83M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,495 |
4,257 |
$1.23M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
860 |
692 |
$153K |
| 90837 |
Psychotherapy, 53 minutes with patient |
458 |
240 |
$95K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
353 |
292 |
$71K |
| 90832 |
Psychotherapy, 30 minutes with patient |
722 |
458 |
$63K |
| 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 |
169 |
124 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
19 |
13 |
$3K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
534 |
348 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
27 |
13 |
$261.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
257 |
217 |
$57.55 |
| 36415 |
Collection of venous blood by venipuncture |
1,418 |
1,123 |
$47.74 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
911 |
766 |
$39.61 |
| 90785 |
|
712 |
274 |
$23.94 |
| 92015 |
Determination of refractive state |
39 |
36 |
$18.59 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
340 |
283 |
$7.90 |
| 91301 |
|
406 |
353 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
106 |
83 |
$0.00 |
| 85027 |
|
71 |
67 |
$0.00 |
| 90686 |
|
170 |
135 |
$0.00 |
| 0031A |
|
73 |
68 |
$0.00 |
| 90889 |
|
40 |
29 |
$0.00 |
| 91303 |
|
92 |
84 |
$0.00 |
| 0011A |
|
17 |
17 |
$0.00 |
| 90838 |
|
27 |
14 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
53 |
47 |
$0.00 |