| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
68,873 |
54,188 |
$6.25M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,793 |
25,814 |
$2.39M |
| 90834 |
Psychotherapy, 45 minutes with patient |
15,061 |
10,034 |
$2.16M |
| 90832 |
Psychotherapy, 30 minutes with patient |
9,777 |
7,320 |
$1.25M |
| H0001 |
Alcohol and/or drug assessment |
2,874 |
2,016 |
$383K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
8,796 |
6,653 |
$378K |
| 90791 |
Psychiatric diagnostic evaluation |
2,149 |
1,750 |
$335K |
| 99442 |
|
2,223 |
2,064 |
$302K |
| 11720 |
|
1,692 |
1,638 |
$235K |
| 11721 |
|
1,292 |
1,273 |
$174K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,331 |
1,061 |
$131K |
| 11719 |
|
1,035 |
878 |
$126K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,483 |
529 |
$116K |
| 99215 |
Prolong outpt/office vis |
863 |
835 |
$112K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,085 |
880 |
$101K |
| 36415 |
Collection of venous blood by venipuncture |
24,044 |
23,433 |
$99K |
| 99406 |
|
4,899 |
3,868 |
$90K |
| 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 |
2,692 |
2,520 |
$87K |
| H0038 |
Self-help/peer services, per 15 minutes |
643 |
385 |
$86K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
785 |
688 |
$70K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
647 |
463 |
$60K |
| 90837 |
Psychotherapy, 53 minutes with patient |
486 |
367 |
$56K |
| 90756 |
|
1,300 |
1,223 |
$45K |
| 86703 |
|
2,081 |
2,057 |
$40K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,660 |
3,631 |
$37K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
596 |
564 |
$30K |
| 99443 |
|
189 |
182 |
$29K |
| 99441 |
|
185 |
178 |
$25K |
| 0012A |
|
817 |
817 |
$25K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
343 |
325 |
$25K |
| 0011A |
|
864 |
864 |
$19K |
| 90688 |
|
1,131 |
1,126 |
$17K |
| 99385 |
|
146 |
104 |
$15K |
| Q3014 |
Telehealth originating site facility fee |
773 |
695 |
$13K |
| H0033 |
Oral medication administration, direct observation |
587 |
77 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
121 |
71 |
$9K |
| 90661 |
|
165 |
164 |
$8K |
| 80305 |
|
904 |
279 |
$7K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
312 |
282 |
$7K |
| 90836 |
|
299 |
294 |
$6K |
| 96127 |
|
643 |
639 |
$5K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
31 |
31 |
$4K |
| 97803 |
|
95 |
95 |
$4K |
| 90670 |
|
18 |
18 |
$4K |
| 97802 |
|
71 |
71 |
$3K |
| 86580 |
|
132 |
126 |
$3K |
| 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 |
167 |
110 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
40 |
24 |
$2K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
14 |
14 |
$2K |
| 99401 |
|
68 |
68 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
59 |
59 |
$2K |
| 96160 |
|
360 |
357 |
$1K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
34 |
31 |
$1K |
| 81025 |
|
614 |
611 |
$1K |
| 3080F |
|
1,166 |
1,147 |
$1K |
| D4910 |
|
26 |
25 |
$1K |
| 3079F |
|
1,250 |
1,234 |
$1K |
| 3077F |
|
1,404 |
1,374 |
$1K |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
24 |
24 |
$987.64 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
32 |
25 |
$906.30 |
| 3075F |
|
1,295 |
1,266 |
$670.39 |
| D1110 |
Prophylaxis - adult |
16 |
16 |
$642.12 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
191 |
187 |
$640.09 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
45 |
45 |
$552.39 |
| D0210 |
Intraoral - complete series of radiographic images |
13 |
13 |
$468.08 |
| 87808 |
|
36 |
36 |
$446.10 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$359.00 |
| D0274 |
Bitewings - four radiographic images |
14 |
14 |
$355.56 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
16 |
15 |
$286.61 |
| 99407 |
|
16 |
15 |
$232.75 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
21 |
20 |
$95.66 |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
13 |
13 |
$7.39 |
| G0008 |
Administration of influenza virus vaccine |
44 |
44 |
$0.00 |
| 1101F |
|
13 |
13 |
$0.00 |
| 99080 |
|
1,076 |
1,055 |
$0.00 |
| 99499 |
|
673 |
664 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
12 |
12 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
13 |
13 |
$0.00 |