| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,452 |
4,641 |
$1.01M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,342 |
1,093 |
$248K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
481 |
457 |
$97K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
516 |
473 |
$97K |
| H0031 |
Mental health assessment, by non-physician |
618 |
452 |
$65K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
326 |
310 |
$64K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
214 |
206 |
$43K |
| 90832 |
Psychotherapy, 30 minutes with patient |
436 |
271 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
102 |
96 |
$20K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
207 |
142 |
$19K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
74 |
70 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
37 |
37 |
$8K |
| 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 |
262 |
155 |
$8K |
| H0001 |
Alcohol and/or drug assessment |
47 |
28 |
$4K |
| 90649 |
|
28 |
25 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,908 |
1,186 |
$444.08 |
| 90686 |
|
301 |
287 |
$20.03 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
878 |
759 |
$18.03 |
| 90680 |
|
57 |
53 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
562 |
526 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
158 |
139 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
850 |
768 |
$0.00 |
| 90723 |
|
98 |
92 |
$0.00 |
| 99000 |
|
264 |
241 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
84 |
79 |
$0.00 |
| 90647 |
|
143 |
140 |
$0.00 |
| 36416 |
|
92 |
85 |
$0.00 |
| 85018 |
|
26 |
25 |
$0.00 |
| 82962 |
|
13 |
12 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
79 |
70 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
27 |
27 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
30 |
27 |
$0.00 |
| 90688 |
|
15 |
15 |
$0.00 |
| 99173 |
|
137 |
132 |
$0.00 |
| 90461 |
|
844 |
565 |
$0.00 |
| 90670 |
|
264 |
256 |
$0.00 |
| 90685 |
|
108 |
98 |
$0.00 |
| 90633 |
|
28 |
28 |
$0.00 |
| 80061 |
Lipid panel |
14 |
12 |
$0.00 |