| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,793 |
21,663 |
$1.20M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,898 |
4,098 |
$286K |
| T1015 |
Clinic visit/encounter, all-inclusive |
19,378 |
15,332 |
$232K |
| 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 |
2,703 |
2,058 |
$56K |
| 90837 |
Psychotherapy, 53 minutes with patient |
359 |
287 |
$31K |
| 96158 |
|
1,645 |
699 |
$30K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,623 |
2,271 |
$27K |
| 90832 |
Psychotherapy, 30 minutes with patient |
431 |
313 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
735 |
638 |
$17K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
173 |
159 |
$13K |
| 90686 |
|
1,621 |
1,406 |
$13K |
| 96156 |
|
346 |
238 |
$10K |
| 90791 |
Psychiatric diagnostic evaluation |
101 |
82 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
76 |
75 |
$6K |
| 90688 |
|
474 |
447 |
$6K |
| 96152 |
|
621 |
427 |
$6K |
| 0134A |
|
135 |
117 |
$4K |
| 0064A |
|
112 |
86 |
$3K |
| 90756 |
|
261 |
258 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
342 |
255 |
$2K |
| 90656 |
|
143 |
140 |
$2K |
| 90632 |
|
48 |
43 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
66 |
53 |
$1K |
| 96150 |
|
143 |
134 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
64 |
52 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$1K |
| 81003 |
|
780 |
643 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
15 |
14 |
$819.99 |
| 90732 |
|
43 |
30 |
$560.95 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
54 |
51 |
$540.20 |
| 90715 |
|
16 |
16 |
$403.96 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
635 |
516 |
$372.47 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
83 |
23 |
$349.79 |
| 90658 |
|
72 |
54 |
$164.94 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
13 |
$159.06 |
| 81025 |
|
14 |
12 |
$81.80 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
62 |
48 |
$0.00 |
| 93000 |
|
49 |
40 |
$0.00 |
| 91306 |
|
16 |
13 |
$0.00 |
| 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 |
72 |
70 |
$0.00 |