| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,673 |
15,000 |
$764K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,880 |
19,918 |
$653K |
| 99442 |
|
3,531 |
3,367 |
$104K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,066 |
1,962 |
$98K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,974 |
1,962 |
$95K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,237 |
2,228 |
$92K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,608 |
1,179 |
$73K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,180 |
1,174 |
$53K |
| 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 |
2,360 |
2,121 |
$38K |
| 99443 |
|
789 |
753 |
$35K |
| 90686 |
|
4,066 |
4,041 |
$35K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,192 |
4,147 |
$34K |
| 99441 |
|
2,095 |
2,040 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,582 |
1,498 |
$30K |
| 99215 |
Prolong outpt/office vis |
219 |
210 |
$17K |
| 0012A |
|
357 |
356 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,574 |
1,549 |
$14K |
| 0011A |
|
426 |
425 |
$14K |
| 98968 |
|
272 |
214 |
$12K |
| 99188 |
|
1,674 |
1,459 |
$10K |
| 90674 |
|
381 |
379 |
$10K |
| 90670 |
|
1,429 |
1,411 |
$10K |
| 36416 |
|
7,138 |
7,017 |
$9K |
| T1015 |
Clinic visit/encounter, all-inclusive |
539 |
519 |
$9K |
| 92551 |
|
2,443 |
2,428 |
$8K |
| 90791 |
Psychiatric diagnostic evaluation |
64 |
64 |
$8K |
| 99173 |
|
4,349 |
4,318 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
812 |
737 |
$7K |
| 90651 |
|
651 |
647 |
$6K |
| 90633 |
|
859 |
851 |
$6K |
| 83655 |
|
550 |
545 |
$6K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
427 |
380 |
$6K |
| D1208 |
Topical application of fluoride, excluding varnish |
463 |
459 |
$6K |
| 90715 |
|
416 |
414 |
$5K |
| 85018 |
|
3,591 |
3,569 |
$4K |
| 97802 |
|
156 |
154 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
77 |
76 |
$3K |
| 82274 |
|
235 |
234 |
$3K |
| 90688 |
|
726 |
726 |
$3K |
| 0064A |
|
68 |
68 |
$3K |
| 90647 |
|
475 |
475 |
$3K |
| 80305 |
|
238 |
175 |
$3K |
| 90734 |
|
307 |
307 |
$2K |
| 90700 |
|
358 |
357 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
715 |
707 |
$2K |
| 90698 |
|
258 |
251 |
$2K |
| 90744 |
|
191 |
186 |
$2K |
| 90681 |
|
219 |
215 |
$2K |
| 90677 |
|
69 |
69 |
$1K |
| 90723 |
|
219 |
218 |
$1K |
| 90713 |
|
125 |
124 |
$1K |
| 98967 |
|
42 |
39 |
$1K |
| 82948 |
|
233 |
230 |
$971.51 |
| 90685 |
|
171 |
171 |
$875.76 |
| 90619 |
|
56 |
56 |
$759.39 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
52 |
51 |
$651.49 |
| 90680 |
|
126 |
126 |
$628.52 |
| 99422 |
|
15 |
13 |
$525.46 |
| 97803 |
|
30 |
24 |
$523.72 |
| 99383 |
|
13 |
13 |
$395.52 |
| 90710 |
|
85 |
85 |
$393.47 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
94 |
91 |
$332.04 |
| 90707 |
|
42 |
41 |
$331.82 |
| 90716 |
|
42 |
42 |
$320.37 |
| 81025 |
|
60 |
54 |
$315.14 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
12 |
$311.44 |
| 81002 |
|
100 |
96 |
$230.88 |
| 87210 |
|
38 |
37 |
$165.23 |
| 90696 |
|
13 |
13 |
$61.86 |
| 90656 |
|
15 |
15 |
$18.34 |
| 3078F |
|
95 |
93 |
$0.00 |
| 91301 |
|
764 |
751 |
$0.00 |
| 91306 |
|
53 |
53 |
$0.00 |
| 3074F |
|
64 |
63 |
$0.00 |