| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,410 |
2,512 |
$169K |
| T1015 |
Clinic visit/encounter, all-inclusive |
8,050 |
5,820 |
$115K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,640 |
1,961 |
$113K |
| 90837 |
Psychotherapy, 53 minutes with patient |
123 |
81 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
121 |
81 |
$7K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
61 |
52 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
81 |
58 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
644 |
466 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
119 |
47 |
$4K |
| 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 |
190 |
164 |
$3K |
| 99215 |
Prolong outpt/office vis |
21 |
18 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
77 |
58 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
42 |
14 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 87428 |
|
29 |
19 |
$623.47 |
| 99484 |
|
58 |
50 |
$604.92 |
| 90686 |
|
159 |
107 |
$337.71 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
39 |
24 |
$149.75 |
| 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 |
18 |
12 |
$87.48 |
| 90656 |
|
19 |
15 |
$50.82 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
195 |
141 |
$0.00 |
| 99490 |
Ccm add 20min |
12 |
12 |
$0.00 |