| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,208 |
25,547 |
$1.00M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,292 |
12,391 |
$631K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,171 |
1,876 |
$92K |
| 99442 |
|
2,780 |
2,655 |
$86K |
| 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 |
2,306 |
1,875 |
$41K |
| 99441 |
|
1,383 |
1,330 |
$27K |
| 98968 |
|
642 |
549 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
372 |
371 |
$24K |
| 99443 |
|
429 |
414 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
219 |
217 |
$17K |
| 90686 |
|
1,906 |
1,903 |
$17K |
| 90674 |
|
601 |
598 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
316 |
316 |
$15K |
| 36415 |
Collection of venous blood by venipuncture |
6,428 |
6,197 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,422 |
1,402 |
$14K |
| 90791 |
Psychiatric diagnostic evaluation |
138 |
138 |
$13K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,700 |
1,672 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,066 |
960 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
366 |
352 |
$8K |
| 36416 |
|
3,743 |
3,648 |
$6K |
| 90834 |
Psychotherapy, 45 minutes with patient |
85 |
74 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
119 |
118 |
$5K |
| 0011A |
|
139 |
138 |
$5K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
342 |
278 |
$5K |
| 0012A |
|
108 |
108 |
$4K |
| T1015 |
Clinic visit/encounter, all-inclusive |
102 |
101 |
$4K |
| 97802 |
|
99 |
98 |
$4K |
| 82274 |
|
248 |
245 |
$4K |
| 90716 |
|
87 |
87 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
26 |
14 |
$3K |
| 85018 |
|
1,454 |
1,444 |
$2K |
| 80305 |
|
174 |
101 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
169 |
169 |
$2K |
| 90633 |
|
282 |
282 |
$2K |
| 83655 |
|
148 |
148 |
$2K |
| 90688 |
|
372 |
371 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
102 |
98 |
$1K |
| 90670 |
|
161 |
161 |
$1K |
| 90713 |
|
78 |
78 |
$1K |
| 81025 |
|
174 |
172 |
$1K |
| 99173 |
|
604 |
601 |
$980.77 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$924.21 |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$917.45 |
| 90715 |
|
53 |
52 |
$857.18 |
| 97811 |
|
17 |
13 |
$837.80 |
| 90677 |
|
24 |
24 |
$820.09 |
| 97810 |
|
17 |
13 |
$694.44 |
| 90707 |
|
28 |
28 |
$633.78 |
| 99188 |
|
95 |
78 |
$596.25 |
| 0064A |
|
13 |
13 |
$520.00 |
| 82948 |
|
117 |
113 |
$460.82 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
98 |
96 |
$419.90 |
| 81002 |
|
192 |
186 |
$399.59 |
| 90651 |
|
30 |
30 |
$366.75 |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
13 |
13 |
$360.90 |
| 99421 |
|
13 |
13 |
$319.28 |
| 90734 |
|
26 |
26 |
$216.83 |
| 92551 |
|
43 |
43 |
$185.74 |
| 90744 |
|
12 |
12 |
$132.00 |
| 90647 |
|
24 |
24 |
$101.57 |
| 3078F |
|
13 |
13 |
$0.00 |
| 90653 |
|
12 |
12 |
$0.00 |
| 91301 |
|
236 |
233 |
$0.00 |
| 3074F |
|
27 |
27 |
$0.00 |
| 91306 |
|
13 |
13 |
$0.00 |