| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,478 |
7,034 |
$359K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,212 |
1,852 |
$118K |
| 90834 |
Psychotherapy, 45 minutes with patient |
988 |
657 |
$57K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
782 |
389 |
$52K |
| 99215 |
Prolong outpt/office vis |
300 |
275 |
$18K |
| 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 |
2,899 |
1,622 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
147 |
133 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
24 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
144 |
135 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
810 |
697 |
$554.77 |
| 0012A |
|
12 |
12 |
$480.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
186 |
183 |
$307.98 |
| 81002 |
|
238 |
232 |
$168.70 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
42 |
42 |
$120.01 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
103 |
83 |
$84.73 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
37 |
35 |
$49.65 |
| 3075F |
|
516 |
451 |
$28.37 |
| 85018 |
|
98 |
95 |
$27.54 |
| 99173 |
|
50 |
49 |
$27.50 |
| 1036F |
|
4,153 |
3,526 |
$19.93 |
| 3074F |
|
4,593 |
4,122 |
$12.71 |
| 1126F |
|
1,819 |
1,674 |
$3.91 |
| 1000F |
|
6,887 |
5,759 |
$2.96 |
| 3016F |
|
2,503 |
2,237 |
$0.18 |
| 1125F |
|
2,658 |
2,342 |
$0.10 |
| 1034F |
|
1,982 |
1,628 |
$0.02 |
| 1220F |
|
6,650 |
5,802 |
$0.01 |
| 1159F |
|
5,028 |
4,388 |
$0.01 |
| 3079F |
|
805 |
682 |
$0.00 |
| 36416 |
|
137 |
120 |
$0.00 |
| 92551 |
|
13 |
13 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
40 |
36 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| 3078F |
|
4,744 |
4,087 |
$0.00 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
14 |
12 |
$0.00 |
| 3077F |
|
13 |
13 |
$0.00 |
| 1158F |
|
36 |
26 |
$0.00 |