| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,743 |
10,914 |
$1.55M |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,675 |
2,355 |
$413K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,204 |
1,376 |
$211K |
| 99441 |
|
1,258 |
1,025 |
$115K |
| 99443 |
|
1,172 |
460 |
$92K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
900 |
599 |
$80K |
| 99442 |
|
375 |
316 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
284 |
180 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
340 |
124 |
$20K |
| 90834 |
Psychotherapy, 45 minutes with patient |
158 |
140 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
213 |
143 |
$17K |
| T2022 |
Case management, per month |
166 |
123 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
104 |
64 |
$8K |
| 90791 |
Psychiatric diagnostic evaluation |
27 |
27 |
$3K |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
12 |
12 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
14 |
$109.25 |
| 94760 |
|
80 |
80 |
$3.64 |
| 90685 |
|
12 |
12 |
$0.00 |