| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
77,244 |
61,016 |
$2.95M |
| T1015 |
Clinic visit/encounter, all-inclusive |
108,630 |
69,030 |
$2.31M |
| 90834 |
Psychotherapy, 45 minutes with patient |
52,426 |
27,632 |
$2.26M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,677 |
19,052 |
$1.52M |
| 90832 |
Psychotherapy, 30 minutes with patient |
14,630 |
9,661 |
$494K |
| 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 |
10,990 |
8,704 |
$288K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
6,565 |
3,634 |
$177K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
11,625 |
4,402 |
$155K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,414 |
5,241 |
$151K |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
631 |
84 |
$73K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,554 |
4,773 |
$56K |
| 90791 |
Psychiatric diagnostic evaluation |
558 |
505 |
$52K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
6,498 |
3,973 |
$44K |
| 99215 |
Prolong outpt/office vis |
472 |
379 |
$39K |
| 99205 |
Prolong outpt/office vis |
336 |
280 |
$36K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
552 |
465 |
$32K |
| 90837 |
Psychotherapy, 53 minutes with patient |
665 |
396 |
$30K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
765 |
530 |
$23K |
| 96127 |
|
6,527 |
4,582 |
$23K |
| 99385 |
|
200 |
176 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,976 |
1,400 |
$14K |
| 36415 |
Collection of venous blood by venipuncture |
4,984 |
3,956 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
102 |
65 |
$10K |
| 90686 |
|
840 |
650 |
$8K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
133 |
106 |
$7K |
| 80305 |
|
606 |
437 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
70 |
63 |
$5K |
| 98960 |
|
748 |
433 |
$4K |
| 90670 |
|
35 |
26 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
451 |
302 |
$2K |
| 80306 |
|
251 |
99 |
$1K |
| 99386 |
|
12 |
12 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
211 |
135 |
$1K |
| 93000 |
|
109 |
95 |
$1K |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
37 |
36 |
$1K |
| 99383 |
|
13 |
13 |
$968.44 |
| 90685 |
|
82 |
54 |
$789.65 |
| 90715 |
|
59 |
41 |
$783.40 |
| 81002 |
|
275 |
215 |
$553.00 |
| 36416 |
|
243 |
135 |
$314.06 |
| 81025 |
|
70 |
60 |
$302.51 |
| 99000 |
|
246 |
201 |
$242.64 |
| 81003 |
|
158 |
131 |
$234.46 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
66 |
51 |
$224.40 |
| 82962 |
|
98 |
27 |
$221.70 |
| 99173 |
|
13 |
13 |
$13.44 |
| 84443 |
Thyroid stimulating hormone (TSH) |
13 |
12 |
$4.00 |
| 80061 |
Lipid panel |
16 |
16 |
$3.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
12 |
$2.00 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
130 |
94 |
$0.00 |