| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
930 |
725 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
765 |
644 |
$31K |
| 90834 |
Psychotherapy, 45 minutes with patient |
509 |
245 |
$14K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
129 |
113 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
69 |
59 |
$5K |
| T1015 |
Clinic visit/encounter, all-inclusive |
3,436 |
2,418 |
$5K |
| 90832 |
Psychotherapy, 30 minutes with patient |
179 |
114 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
206 |
188 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
83 |
75 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
30 |
17 |
$931.70 |
| D0120 |
Periodic oral evaluation - established patient |
33 |
24 |
$680.14 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
72 |
49 |
$452.67 |
| 36416 |
|
129 |
102 |
$253.88 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
12 |
$42.00 |
| 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 |
507 |
436 |
$0.00 |
| 90677 |
|
17 |
13 |
$0.00 |
| D9999 |
Unspecified adjunctive procedure, by report |
144 |
134 |
$0.00 |