| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,026 |
1,754 |
$87K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
659 |
606 |
$48K |
| 90834 |
Psychotherapy, 45 minutes with patient |
270 |
198 |
$17K |
| 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 |
702 |
567 |
$12K |
| 90837 |
Psychotherapy, 53 minutes with patient |
86 |
58 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26 |
25 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
19 |
19 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16 |
14 |
$941.85 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$907.63 |
| 90686 |
|
72 |
67 |
$649.76 |
| 92551 |
|
66 |
66 |
$614.40 |
| 99000 |
|
223 |
196 |
$301.76 |
| 36415 |
Collection of venous blood by venipuncture |
244 |
213 |
$294.88 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
247 |
224 |
$238.80 |
| 90461 |
|
62 |
60 |
$177.00 |
| 99173 |
|
67 |
66 |
$150.67 |
| 94760 |
|
149 |
128 |
$59.22 |
| 83655 |
|
14 |
12 |
$36.33 |
| 85018 |
|
17 |
13 |
$9.48 |
| 36416 |
|
21 |
15 |
$0.00 |