| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,821 |
12,243 |
$663K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,482 |
1,247 |
$152K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,614 |
1,456 |
$122K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,447 |
1,313 |
$114K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,450 |
1,265 |
$110K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,179 |
968 |
$98K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
968 |
789 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
645 |
556 |
$25K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,519 |
1,330 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,752 |
1,563 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,312 |
1,086 |
$10K |
| 99406 |
|
1,093 |
835 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
50 |
42 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
70 |
53 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
41 |
29 |
$2K |
| 81002 |
|
1,850 |
1,661 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
29 |
26 |
$2K |
| 99383 |
|
16 |
12 |
$885.53 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
114 |
99 |
$528.65 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$283.16 |
| 90461 |
|
520 |
457 |
$195.60 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
13 |
$119.04 |
| 92551 |
|
2,798 |
2,473 |
$20.75 |
| 99173 |
|
2,857 |
2,497 |
$20.00 |
| 90633 |
|
451 |
397 |
$14.18 |
| 81003 |
|
13 |
13 |
$14.15 |
| 85018 |
|
12 |
12 |
$9.72 |
| 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 |
20 |
14 |
$9.04 |
| 97802 |
|
653 |
596 |
$4.37 |
| 1159F |
|
10,170 |
8,567 |
$0.00 |
| 1160F |
|
10,140 |
8,540 |
$0.00 |
| 96167 |
|
826 |
662 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
3,010 |
2,351 |
$0.00 |
| 3078F |
|
2,503 |
1,956 |
$0.00 |
| 90670 |
|
223 |
203 |
$0.00 |
| 90681 |
|
40 |
38 |
$0.00 |
| 90671 |
|
174 |
171 |
$0.00 |
| 90648 |
|
80 |
79 |
$0.00 |
| 90715 |
|
65 |
45 |
$0.00 |
| 90734 |
|
174 |
152 |
$0.00 |
| 90710 |
|
28 |
26 |
$0.00 |
| 1158F |
|
147 |
138 |
$0.00 |
| 3077F |
|
54 |
44 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
14 |
13 |
$0.00 |
| 90700 |
|
42 |
41 |
$0.00 |
| 99408 |
|
29 |
28 |
$0.00 |
| 3074F |
|
2,963 |
2,515 |
$0.00 |
| 1036F |
|
3,681 |
2,936 |
$0.00 |
| 90620 |
|
98 |
76 |
$0.00 |
| 1000F |
|
4,344 |
3,473 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,000 |
833 |
$0.00 |
| 1125F |
|
1,095 |
869 |
$0.00 |
| 3075F |
|
653 |
594 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
542 |
409 |
$0.00 |
| 1126F |
|
945 |
794 |
$0.00 |
| 90647 |
|
214 |
200 |
$0.00 |
| 3079F |
|
1,379 |
1,139 |
$0.00 |
| 3008F |
|
1,898 |
1,741 |
$0.00 |
| 1111F |
|
231 |
202 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |
| 96127 |
|
74 |
71 |
$0.00 |
| 90651 |
|
267 |
236 |
$0.00 |
| 90677 |
|
15 |
15 |
$0.00 |
| 90723 |
|
46 |
44 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
24 |
24 |
$0.00 |
| 90744 |
|
15 |
15 |
$0.00 |