| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,388 |
10,783 |
$1.95M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,471 |
3,868 |
$659K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,230 |
2,065 |
$383K |
| D9999 |
Unspecified adjunctive procedure, by report |
845 |
625 |
$158K |
| 90837 |
Psychotherapy, 53 minutes with patient |
806 |
484 |
$123K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
367 |
328 |
$62K |
| D0140 |
Limited oral evaluation - problem focused |
351 |
209 |
$62K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
150 |
137 |
$24K |
| 99215 |
Prolong outpt/office vis |
128 |
106 |
$22K |
| 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 |
1,541 |
1,158 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
115 |
111 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
53 |
47 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,116 |
1,292 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
12 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
20 |
13 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
18 |
12 |
$2K |
| 86580 |
|
209 |
184 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
40 |
39 |
$1K |
| 90461 |
|
470 |
383 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
27 |
25 |
$406.12 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
17 |
$282.03 |
| 96127 |
|
38 |
27 |
$222.80 |
| 3008F |
|
11,717 |
10,396 |
$190.77 |
| 90670 |
|
47 |
45 |
$92.44 |
| 1126F |
|
814 |
737 |
$0.00 |
| 3074F |
|
2,447 |
2,215 |
$0.00 |
| 1036F |
|
802 |
689 |
$0.00 |
| 1125F |
|
1,838 |
1,660 |
$0.00 |
| 3079F |
|
202 |
191 |
$0.00 |
| 90688 |
|
36 |
35 |
$0.00 |
| 3044F |
|
38 |
31 |
$0.00 |
| 3075F |
|
57 |
52 |
$0.00 |
| 90698 |
|
46 |
44 |
$0.00 |
| 90744 |
|
14 |
13 |
$0.00 |
| 90680 |
|
14 |
13 |
$0.00 |
| 3080F |
|
13 |
13 |
$0.00 |
| 1159F |
|
1,614 |
1,443 |
$0.00 |
| 1160F |
|
1,990 |
1,787 |
$0.00 |
| 3078F |
|
2,307 |
2,087 |
$0.00 |
| 3725F |
|
179 |
163 |
$0.00 |
| 3077F |
|
93 |
82 |
$0.00 |
| 90633 |
|
15 |
13 |
$0.00 |
| 90734 |
|
20 |
16 |
$0.00 |
| 90715 |
|
18 |
15 |
$0.00 |