| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,131 |
5,516 |
$1.11M |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,468 |
2,022 |
$496K |
| 90837 |
Psychotherapy, 53 minutes with patient |
917 |
770 |
$213K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,090 |
1,036 |
$180K |
| 90832 |
Psychotherapy, 30 minutes with patient |
506 |
436 |
$113K |
| 90791 |
Psychiatric diagnostic evaluation |
482 |
457 |
$90K |
| S0311 |
Comprehensive management and care coordination for advanced illness, per calendar month |
210 |
191 |
$54K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
305 |
272 |
$54K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
222 |
208 |
$38K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
158 |
156 |
$30K |
| D1206 |
Topical application of fluoride varnish |
187 |
171 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
135 |
135 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
125 |
125 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
74 |
74 |
$15K |
| 99384 |
|
56 |
55 |
$11K |
| Q3014 |
Telehealth originating site facility fee |
547 |
499 |
$11K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
27 |
26 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
206 |
186 |
$7K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
15 |
14 |
$2K |
| D1120 |
Prophylaxis - child |
13 |
13 |
$2K |
| G9148 |
National committee for quality assurance - level 1 medical home |
25 |
24 |
$2K |
| 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 |
634 |
553 |
$130.78 |
| 36415 |
Collection of venous blood by venipuncture |
473 |
439 |
$2.68 |
| 81003 |
|
78 |
59 |
$1.13 |
| 90686 |
|
32 |
32 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$0.00 |
| 90651 |
|
32 |
27 |
$0.00 |
| 90461 |
|
72 |
64 |
$0.00 |
| 90785 |
|
58 |
53 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| D0190 |
|
164 |
148 |
$0.00 |