| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,963 |
1,577 |
$451K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,276 |
433 |
$267K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
689 |
532 |
$132K |
| 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 |
1,136 |
833 |
$49K |
| 0012A |
|
38 |
38 |
$11K |
| 0011A |
|
34 |
34 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$2K |