| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,609 |
4,744 |
$455K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,248 |
4,549 |
$298K |
| 90834 |
Psychotherapy, 45 minutes with patient |
959 |
671 |
$82K |
| 96150 |
|
447 |
336 |
$68K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,014 |
722 |
$64K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,139 |
1,029 |
$59K |
| 36415 |
Collection of venous blood by venipuncture |
2,211 |
1,977 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
40 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
121 |
94 |
$4K |
| Q3014 |
Telehealth originating site facility fee |
177 |
153 |
$3K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
28 |
26 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
121 |
109 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$1K |
| 90674 |
|
90 |
86 |
$1K |
| 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 |
54 |
32 |
$1K |
| 99443 |
|
16 |
16 |
$961.97 |
| 90686 |
|
75 |
65 |
$928.00 |
| 0012A |
|
21 |
21 |
$800.00 |
| 0011A |
|
22 |
21 |
$776.94 |
| 96127 |
|
281 |
197 |
$758.86 |
| 99406 |
|
29 |
25 |
$754.82 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
400 |
373 |
$651.65 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$474.00 |
| 81002 |
|
32 |
31 |
$71.12 |
| 99173 |
|
16 |
13 |
$29.76 |
| 80305 |
|
29 |
26 |
$17.89 |
| 3008F |
|
94 |
82 |
$0.06 |
| 3078F |
|
104 |
95 |
$0.05 |
| 3074F |
|
70 |
63 |
$0.05 |
| 1159F |
|
211 |
195 |
$0.02 |
| 91301 |
|
78 |
76 |
$0.02 |
| 1160F |
|
204 |
190 |
$0.01 |
| 99080 |
|
12 |
12 |
$0.00 |
| 90461 |
|
12 |
12 |
$0.00 |
| 99000 |
|
20 |
20 |
$0.00 |