| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,556 |
17,650 |
$4.67M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,191 |
10,151 |
$2.41M |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,328 |
1,887 |
$501K |
| D0999 |
Unspecified diagnostic procedure, by report |
1,066 |
830 |
$401K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,727 |
916 |
$302K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
494 |
404 |
$109K |
| 90832 |
Psychotherapy, 30 minutes with patient |
482 |
244 |
$88K |
| H0031 |
Mental health assessment, by non-physician |
361 |
261 |
$70K |
| 99000 |
|
6,342 |
5,149 |
$56K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
191 |
179 |
$48K |
| T1015 |
Clinic visit/encounter, all-inclusive |
29,167 |
21,049 |
$45K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
159 |
142 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
95 |
89 |
$22K |
| 99442 |
|
82 |
66 |
$20K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,183 |
2,753 |
$20K |
| 36415 |
Collection of venous blood by venipuncture |
4,313 |
3,678 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
111 |
106 |
$14K |
| 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 |
1,155 |
826 |
$13K |
| 99215 |
Prolong outpt/office vis |
52 |
37 |
$8K |
| 99443 |
|
30 |
24 |
$8K |
| D1206 |
Topical application of fluoride varnish |
276 |
205 |
$6K |
| 90686 |
|
928 |
780 |
$5K |
| 0001A |
|
130 |
96 |
$4K |
| 0002A |
|
121 |
84 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
42 |
28 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
12 |
$3K |
| 0012A |
|
109 |
94 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
282 |
243 |
$2K |
| 0011A |
|
67 |
58 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
560 |
457 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,115 |
636 |
$1K |
| 90688 |
|
307 |
271 |
$1K |
| D0190 |
|
16 |
16 |
$594.00 |
| 81003 |
|
14 |
13 |
$266.93 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
96 |
91 |
$239.80 |
| 90656 |
|
14 |
12 |
$26.25 |
| 81002 |
|
54 |
43 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
92 |
83 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
74 |
50 |
$0.00 |
| 85018 |
|
147 |
130 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
342 |
321 |
$0.00 |
| 96127 |
|
71 |
54 |
$0.00 |
| 91307 |
|
35 |
12 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
73 |
56 |
$0.00 |
| 3074F |
|
12 |
12 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
13 |
$0.00 |