| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,475 |
3,040 |
$125K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,437 |
891 |
$39K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
293 |
137 |
$11K |
| 99385 |
|
135 |
92 |
$6K |
| 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 |
637 |
454 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
34 |
25 |
$2K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
96 |
50 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
139 |
103 |
$739.97 |
| 96127 |
|
1,782 |
779 |
$551.35 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
24 |
$470.53 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
29 |
26 |
$261.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,061 |
1,751 |
$224.27 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
79 |
46 |
$180.25 |
| 81025 |
|
168 |
117 |
$155.56 |
| 90686 |
|
22 |
12 |
$116.88 |
| 3074F |
|
3,022 |
2,038 |
$25.00 |
| 82962 |
|
76 |
45 |
$17.92 |
| 3008F |
|
5,036 |
3,231 |
$12.61 |
| 81002 |
|
14 |
13 |
$4.18 |
| 3078F |
|
2,708 |
1,859 |
$0.00 |
| 1159F |
|
2,971 |
2,097 |
$0.00 |
| 2028F |
|
600 |
439 |
$0.00 |
| 3077F |
|
358 |
251 |
$0.00 |
| 1160F |
|
2,972 |
2,097 |
$0.00 |
| 4158F |
|
21 |
21 |
$0.00 |
| 99408 |
|
150 |
93 |
$0.00 |
| 1220F |
|
4,283 |
2,906 |
$0.00 |
| 2001F |
|
4,099 |
2,771 |
$0.00 |
| 2000F |
|
4,148 |
2,801 |
$0.00 |
| 1126F |
|
2,743 |
2,032 |
$0.00 |
| 3044F |
|
1,446 |
994 |
$0.00 |
| 3080F |
|
45 |
39 |
$0.00 |
| 3351F |
|
1,393 |
659 |
$0.00 |
| 3075F |
|
637 |
478 |
$0.00 |
| 1125F |
|
534 |
396 |
$0.00 |
| 3079F |
|
1,408 |
954 |
$0.00 |
| 1000F |
|
5,792 |
3,620 |
$0.00 |
| 0513F |
|
843 |
422 |
$0.00 |
| 4000F |
|
1,726 |
1,123 |
$0.00 |
| 1123F |
|
139 |
96 |
$0.00 |
| 36416 |
|
63 |
40 |
$0.00 |
| 4050F |
|
124 |
82 |
$0.00 |
| 3017F |
|
56 |
24 |
$0.00 |