| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
29 |
27 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,617 |
887 |
$178.79 |
| 71045 |
Radiologic examination, chest; single view |
15 |
13 |
$115.20 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
139 |
123 |
$53.66 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
761 |
719 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,433 |
11,142 |
$0.00 |
| 90686 |
|
169 |
155 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,470 |
13,249 |
$0.00 |
| 99443 |
|
367 |
261 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,680 |
2,514 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
71 |
67 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
257 |
238 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
60 |
51 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
92 |
52 |
$0.00 |
| 90656 |
|
19 |
19 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
30 |
25 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,113 |
991 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,692 |
1,610 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,037 |
1,004 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
1,209 |
1,139 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
358 |
333 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
825 |
804 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
351 |
347 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
210 |
208 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
14 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
65 |
65 |
$0.00 |
| 99442 |
|
293 |
254 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
13 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
222 |
180 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
19 |
13 |
$0.00 |