| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,244 |
5,914 |
$525K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
773 |
722 |
$62K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
564 |
533 |
$41K |
| 90837 |
Psychotherapy, 53 minutes with patient |
393 |
184 |
$33K |
| 3008F |
|
10,667 |
9,039 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
330 |
327 |
$25K |
| 90686 |
|
866 |
832 |
$11K |
| 90670 |
|
347 |
340 |
$11K |
| 90697 |
|
166 |
161 |
$9K |
| 90677 |
|
70 |
68 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
62 |
62 |
$5K |
| 92551 |
|
439 |
429 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,693 |
1,653 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
298 |
228 |
$4K |
| 90461 |
|
867 |
846 |
$3K |
| 99000 |
|
2,768 |
2,487 |
$3K |
| 0012A |
|
49 |
49 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
145 |
145 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,880 |
1,672 |
$2K |
| 0011A |
|
56 |
55 |
$2K |
| 90651 |
|
28 |
28 |
$1K |
| 90633 |
|
116 |
114 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
12 |
12 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
96 |
88 |
$1K |
| 90681 |
|
58 |
56 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
190 |
187 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
372 |
352 |
$993.68 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
12 |
$879.45 |
| 87428 |
|
29 |
29 |
$866.32 |
| 99173 |
|
351 |
345 |
$800.28 |
| 99188 |
|
24 |
24 |
$498.96 |
| 90716 |
|
12 |
12 |
$263.47 |
| 92587 |
|
14 |
14 |
$202.84 |
| 87807 |
|
12 |
12 |
$144.10 |
| 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 |
13 |
12 |
$123.70 |
| 99177 |
|
18 |
18 |
$72.00 |
| 80061 |
Lipid panel |
58 |
57 |
$66.95 |
| 36416 |
|
14 |
14 |
$5.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
39 |
38 |
$0.00 |
| V5008 |
Hearing screening |
14 |
14 |
$0.00 |
| 76801 |
|
36 |
36 |
$0.00 |
| 84439 |
|
41 |
40 |
$0.00 |