| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54,385 |
49,717 |
$227K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,502 |
858 |
$113K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,910 |
16,867 |
$93K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16,138 |
14,801 |
$48K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
578 |
574 |
$13K |
| 90834 |
Psychotherapy, 45 minutes with patient |
113 |
53 |
$9K |
| 97803 |
|
2,203 |
2,163 |
$6K |
| 59425 |
|
102 |
74 |
$6K |
| 99215 |
Prolong outpt/office vis |
752 |
696 |
$5K |
| 97802 |
|
1,149 |
1,136 |
$4K |
| G9920 |
Screening performed and negative |
990 |
938 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
166 |
165 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,353 |
3,273 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
343 |
343 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
558 |
550 |
$2K |
| 92250 |
|
37 |
37 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
26 |
13 |
$1K |
| 92133 |
|
40 |
40 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
58 |
58 |
$1K |
| 90677 |
|
16 |
16 |
$967.29 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
772 |
771 |
$962.66 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
180 |
180 |
$931.92 |
| 81002 |
|
1,567 |
1,341 |
$844.89 |
| 99243 |
|
25 |
24 |
$743.75 |
| 90658 |
|
384 |
384 |
$712.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
173 |
165 |
$624.93 |
| 99442 |
|
60 |
58 |
$600.00 |
| 90656 |
|
245 |
244 |
$568.46 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
445 |
444 |
$482.48 |
| 92015 |
Determination of refractive state |
2,508 |
2,506 |
$430.11 |
| 81025 |
|
358 |
348 |
$320.14 |
| 92020 |
|
14 |
13 |
$264.14 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
961 |
956 |
$196.78 |
| 90734 |
|
24 |
24 |
$177.00 |
| 90649 |
|
14 |
14 |
$132.00 |
| 90633 |
|
12 |
12 |
$117.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$114.48 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
61 |
53 |
$74.10 |
| 82948 |
|
340 |
320 |
$71.56 |
| 99188 |
|
74 |
73 |
$59.40 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
933 |
915 |
$50.50 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
13 |
13 |
$49.50 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$46.22 |
| 96127 |
|
46 |
45 |
$36.07 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
32 |
32 |
$35.20 |
| 99406 |
|
38 |
38 |
$27.00 |
| V2020 |
Frames, purchases |
68 |
67 |
$21.31 |
| 90715 |
|
13 |
13 |
$18.00 |
| 96156 |
|
72 |
60 |
$16.82 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
122 |
95 |
$8.41 |
| 99401 |
|
49 |
46 |
$8.41 |
| 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 |
50 |
43 |
$4.94 |
| 59430 |
|
14 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,658 |
1,608 |
$0.00 |
| 90686 |
|
13 |
13 |
$0.00 |