| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,059 |
6,172 |
$1.51M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,046 |
4,697 |
$1.08M |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,409 |
3,323 |
$107K |
| 90832 |
Psychotherapy, 30 minutes with patient |
233 |
218 |
$47K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
176 |
173 |
$40K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
154 |
154 |
$39K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
142 |
140 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
119 |
110 |
$22K |
| 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 |
957 |
824 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
63 |
61 |
$17K |
| 99000 |
|
830 |
725 |
$4K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
379 |
247 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,203 |
1,162 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
158 |
139 |
$2K |
| 90686 |
|
682 |
673 |
$685.01 |
| 99173 |
|
65 |
65 |
$228.87 |
| 90750 |
|
45 |
45 |
$224.40 |
| 91322 |
|
15 |
15 |
$35.00 |
| 81002 |
|
498 |
415 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
453 |
434 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
267 |
259 |
$0.00 |
| 99188 |
|
42 |
42 |
$0.00 |
| 90715 |
|
15 |
12 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
404 |
400 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
536 |
518 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
29 |
28 |
$0.00 |
| 87807 |
|
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
31 |
30 |
$0.00 |
| 90656 |
|
56 |
56 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |