| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,378 |
17,777 |
$1.05M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,536 |
22,166 |
$914K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,341 |
1,248 |
$82K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,253 |
2,918 |
$65K |
| 90837 |
Psychotherapy, 53 minutes with patient |
608 |
394 |
$62K |
| 90834 |
Psychotherapy, 45 minutes with patient |
860 |
525 |
$48K |
| 92015 |
Determination of refractive state |
2,942 |
2,656 |
$19K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
445 |
385 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
93 |
81 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
170 |
111 |
$7K |
| 90686 |
|
454 |
434 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
45 |
40 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
41 |
40 |
$2K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
173 |
165 |
$2K |
| 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 |
185 |
166 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
23 |
18 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
14 |
$805.42 |
| 87430 |
|
61 |
53 |
$773.39 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$762.45 |
| 92341 |
|
30 |
28 |
$700.50 |
| 0012A |
|
16 |
16 |
$610.56 |
| 92134 |
|
37 |
36 |
$598.40 |
| 36415 |
Collection of venous blood by venipuncture |
3,727 |
3,296 |
$335.13 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
29 |
25 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
28 |
25 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
429 |
403 |
$0.00 |