| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,706 |
12,984 |
$356K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,352 |
4,953 |
$124K |
| 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 |
3,080 |
2,513 |
$72K |
| 90686 |
|
2,460 |
2,448 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
333 |
317 |
$24K |
| 90832 |
Psychotherapy, 30 minutes with patient |
507 |
336 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
208 |
208 |
$15K |
| 0002A |
|
310 |
310 |
$11K |
| 0001A |
|
281 |
280 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
180 |
180 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
113 |
113 |
$5K |
| 99442 |
|
108 |
106 |
$4K |
| 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 |
106 |
68 |
$4K |
| 90688 |
|
194 |
194 |
$2K |
| 0012A |
|
52 |
52 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
132 |
127 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
108 |
70 |
$1K |
| 0072A |
|
53 |
53 |
$1K |
| 0011A |
|
29 |
29 |
$1K |
| 0071A |
|
40 |
40 |
$880.00 |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$832.32 |
| 0004A |
|
26 |
26 |
$760.00 |
| 90670 |
|
24 |
24 |
$446.65 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
66 |
66 |
$437.94 |
| 97803 |
|
13 |
12 |
$433.32 |
| 99215 |
Prolong outpt/office vis |
17 |
14 |
$330.77 |
| 90656 |
|
44 |
44 |
$287.77 |
| 90671 |
|
12 |
12 |
$196.90 |
| 99441 |
|
12 |
12 |
$184.75 |
| 87430 |
|
12 |
12 |
$163.20 |
| 92551 |
|
41 |
41 |
$162.80 |
| 90633 |
|
15 |
15 |
$154.65 |
| 90480 |
|
12 |
12 |
$105.42 |
| 95117 |
|
24 |
13 |
$102.45 |
| 90658 |
|
12 |
12 |
$51.00 |
| 3078F |
|
4,894 |
4,622 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
93 |
93 |
$0.00 |
| 3077F |
|
76 |
70 |
$0.00 |
| 90662 |
|
52 |
51 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
39 |
34 |
$0.00 |
| 91300 |
|
14 |
14 |
$0.00 |
| 3079F |
|
1,529 |
1,456 |
$0.00 |
| 3074F |
|
6,220 |
5,869 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
140 |
135 |
$0.00 |
| 3075F |
|
158 |
153 |
$0.00 |