| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,070 |
12,517 |
$1.11M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,818 |
1,250 |
$126K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
846 |
647 |
$60K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
884 |
599 |
$60K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,660 |
1,610 |
$54K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
855 |
607 |
$53K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
625 |
417 |
$45K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
616 |
460 |
$43K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
426 |
333 |
$32K |
| 90837 |
Psychotherapy, 53 minutes with patient |
233 |
140 |
$16K |
| 96127 |
|
3,754 |
3,532 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
156 |
126 |
$12K |
| 99442 |
|
96 |
60 |
$7K |
| 99385 |
|
97 |
57 |
$6K |
| 90686 |
|
429 |
421 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,249 |
1,203 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
31 |
13 |
$2K |
| 90461 |
|
250 |
248 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
135 |
112 |
$2K |
| 90670 |
|
24 |
24 |
$1K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
94 |
93 |
$1K |
| 85018 |
|
310 |
284 |
$986.41 |
| 83655 |
|
95 |
70 |
$960.81 |
| 90656 |
|
188 |
188 |
$467.92 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
55 |
45 |
$447.49 |
| 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 |
14 |
12 |
$443.74 |
| 99406 |
|
44 |
43 |
$361.27 |
| 90619 |
|
12 |
12 |
$170.00 |
| 3078F |
|
256 |
243 |
$143.13 |
| 3074F |
|
469 |
446 |
$141.89 |
| 90633 |
|
12 |
12 |
$120.00 |
| 81002 |
|
54 |
52 |
$108.96 |
| 87430 |
|
15 |
14 |
$93.45 |
| 94760 |
|
29 |
27 |
$39.20 |
| 3079F |
|
91 |
88 |
$0.34 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
992 |
918 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
973 |
920 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |