| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,377 |
28,025 |
$807K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,495 |
8,829 |
$422K |
| G9149 |
National committee for quality assurance - level 2 medical home |
935 |
926 |
$161K |
| 99442 |
|
4,545 |
4,302 |
$149K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,915 |
1,488 |
$72K |
| 99441 |
|
2,615 |
2,507 |
$52K |
| 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 |
2,284 |
1,848 |
$47K |
| 0001A |
|
1,165 |
1,164 |
$45K |
| 0002A |
|
1,124 |
1,121 |
$44K |
| 99443 |
|
742 |
693 |
$38K |
| 98968 |
|
909 |
706 |
$38K |
| 90686 |
|
2,305 |
2,300 |
$18K |
| G9148 |
National committee for quality assurance - level 1 medical home |
51 |
51 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
5,847 |
5,664 |
$12K |
| 90674 |
|
523 |
522 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,182 |
1,165 |
$11K |
| 0004A |
|
239 |
239 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
537 |
526 |
$8K |
| 98967 |
|
262 |
236 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
838 |
823 |
$8K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
538 |
446 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
398 |
395 |
$7K |
| 0012A |
|
186 |
186 |
$7K |
| 97802 |
|
160 |
159 |
$6K |
| 0011A |
|
197 |
196 |
$6K |
| 80305 |
|
537 |
440 |
$6K |
| 0072A |
|
138 |
138 |
$6K |
| 0071A |
|
132 |
132 |
$5K |
| 36416 |
|
3,737 |
3,595 |
$5K |
| T1015 |
Clinic visit/encounter, all-inclusive |
64 |
58 |
$4K |
| 82274 |
|
247 |
246 |
$4K |
| 0054A |
|
101 |
97 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
270 |
269 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
161 |
159 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
223 |
195 |
$2K |
| 92551 |
|
450 |
445 |
$2K |
| 83655 |
|
109 |
109 |
$1K |
| 96158 |
|
31 |
28 |
$1K |
| 99215 |
Prolong outpt/office vis |
16 |
15 |
$1K |
| 90756 |
|
53 |
53 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$1K |
| 99173 |
|
626 |
621 |
$1K |
| 20610 |
|
27 |
25 |
$847.78 |
| G9150 |
National committee for quality assurance - level 3 medical home |
12 |
12 |
$810.00 |
| 90651 |
|
38 |
38 |
$804.68 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
27 |
$761.64 |
| 98966 |
|
41 |
40 |
$744.00 |
| 90715 |
|
50 |
50 |
$696.24 |
| 90688 |
|
455 |
451 |
$574.70 |
| 82948 |
|
144 |
137 |
$571.27 |
| 90480 |
|
14 |
14 |
$560.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
59 |
58 |
$409.70 |
| 99188 |
|
27 |
27 |
$331.25 |
| 85018 |
|
577 |
573 |
$220.94 |
| 90685 |
|
41 |
41 |
$197.96 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$90.84 |
| 90633 |
|
69 |
69 |
$78.88 |
| 85610 |
|
17 |
13 |
$75.48 |
| 90713 |
|
14 |
14 |
$59.68 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
15 |
14 |
$22.66 |
| 90670 |
|
44 |
44 |
$17.88 |
| 90680 |
|
12 |
12 |
$11.92 |
| 90647 |
|
25 |
25 |
$5.96 |
| 91300 |
|
2,666 |
2,570 |
$0.00 |
| 90700 |
|
24 |
24 |
$0.00 |
| 97811 |
|
17 |
14 |
$0.00 |
| 97810 |
|
19 |
15 |
$0.00 |
| 91305 |
|
206 |
198 |
$0.00 |
| 91307 |
|
366 |
364 |
$0.00 |
| 91301 |
|
369 |
353 |
$0.00 |