| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,257 |
4,370 |
$191K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,201 |
2,646 |
$159K |
| 99348 |
|
2,120 |
1,835 |
$71K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,263 |
907 |
$45K |
| 90837 |
Psychotherapy, 53 minutes with patient |
675 |
410 |
$40K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,352 |
982 |
$32K |
| 90791 |
Psychiatric diagnostic evaluation |
635 |
569 |
$32K |
| 99349 |
|
251 |
220 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,117 |
955 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
579 |
450 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
364 |
323 |
$8K |
| 99347 |
|
216 |
173 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
459 |
380 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
194 |
164 |
$4K |
| 96127 |
|
1,441 |
528 |
$4K |
| 80305 |
|
617 |
476 |
$3K |
| 99343 |
|
39 |
37 |
$3K |
| 1159F |
|
1,147 |
979 |
$3K |
| 3008F |
|
820 |
726 |
$2K |
| 3074F |
|
701 |
625 |
$2K |
| 99215 |
Prolong outpt/office vis |
46 |
33 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
41 |
35 |
$1K |
| 99384 |
|
16 |
13 |
$1K |
| 3078F |
|
374 |
349 |
$880.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
53 |
32 |
$765.30 |
| 90686 |
|
268 |
222 |
$666.80 |
| 36415 |
Collection of venous blood by venipuncture |
271 |
211 |
$535.66 |
| D0190 |
|
62 |
62 |
$528.00 |
| 90651 |
|
67 |
43 |
$519.78 |
| 99173 |
|
68 |
61 |
$429.54 |
| 3079F |
|
99 |
93 |
$280.00 |
| 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 |
14 |
14 |
$275.00 |
| D1206 |
Topical application of fluoride varnish |
16 |
16 |
$253.50 |
| 87807 |
|
20 |
16 |
$243.05 |
| 81002 |
|
102 |
75 |
$223.14 |
| 3077F |
|
45 |
43 |
$210.00 |
| 81003 |
|
140 |
120 |
$196.42 |
| 3080F |
|
39 |
35 |
$160.00 |
| 90734 |
|
15 |
12 |
$147.47 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
16 |
16 |
$120.20 |
| 96160 |
|
125 |
119 |
$46.24 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
12 |
$22.60 |