| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,408 |
7,342 |
$685K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,983 |
3,535 |
$434K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
168 |
168 |
$20K |
| 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 |
1,021 |
994 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
157 |
146 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
134 |
133 |
$16K |
| 90832 |
Psychotherapy, 30 minutes with patient |
200 |
188 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
28 |
27 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
25 |
25 |
$3K |
| 99307 |
|
30 |
30 |
$345.60 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
242 |
220 |
$244.34 |
| 83655 |
|
89 |
75 |
$241.21 |
| 92551 |
|
792 |
752 |
$173.64 |
| 3078F |
|
305 |
258 |
$53.47 |
| 3351F |
|
1,795 |
1,498 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
349 |
324 |
$0.00 |
| 36416 |
|
69 |
64 |
$0.00 |
| 87428 |
|
84 |
76 |
$0.00 |
| 90651 |
|
93 |
93 |
$0.00 |
| 3079F |
|
91 |
71 |
$0.00 |
| 3074F |
|
115 |
100 |
$0.00 |
| 90686 |
|
199 |
194 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
895 |
840 |
$0.00 |
| 85018 |
|
189 |
175 |
$0.00 |
| 90723 |
|
25 |
25 |
$0.00 |
| 3080F |
|
16 |
15 |
$0.00 |
| 90647 |
|
38 |
38 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 1125F |
|
19 |
13 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
436 |
422 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
912 |
844 |
$0.00 |
| 81003 |
|
70 |
66 |
$0.00 |
| 99173 |
|
793 |
753 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
701 |
652 |
$0.00 |
| 3077F |
|
163 |
139 |
$0.00 |
| 90734 |
|
62 |
62 |
$0.00 |
| 90670 |
|
57 |
57 |
$0.00 |
| 1160F |
|
31 |
26 |
$0.00 |
| 90715 |
|
20 |
20 |
$0.00 |
| 99401 |
|
14 |
14 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
12 |
$0.00 |
| 1159F |
|
19 |
15 |
$0.00 |
| 80061 |
Lipid panel |
16 |
16 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 90473 |
|
13 |
13 |
$0.00 |