| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,077 |
20,802 |
$1.31M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,502 |
2,241 |
$178K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
714 |
686 |
$47K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
240 |
86 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
87 |
84 |
$7K |
| 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 |
1,762 |
1,075 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
55 |
55 |
$5K |
| 99215 |
Prolong outpt/office vis |
29 |
29 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
43 |
39 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
52 |
28 |
$3K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
569 |
176 |
$3K |
| 99442 |
|
93 |
75 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
54 |
53 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
24 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
173 |
168 |
$1K |
| 81002 |
|
2,222 |
2,105 |
$707.02 |
| 99173 |
|
983 |
935 |
$468.47 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
544 |
518 |
$311.29 |
| 36415 |
Collection of venous blood by venipuncture |
3,239 |
3,116 |
$259.22 |
| 81025 |
|
646 |
617 |
$246.80 |
| 1126F |
|
10,120 |
8,846 |
$200.92 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
267 |
265 |
$160.85 |
| 85018 |
|
915 |
871 |
$159.94 |
| 1125F |
|
3,848 |
3,390 |
$113.31 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
144 |
139 |
$89.38 |
| 1159F |
|
13,318 |
11,293 |
$78.53 |
| 36416 |
|
1,490 |
1,393 |
$72.46 |
| 90686 |
|
30 |
30 |
$49.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
17 |
17 |
$40.00 |
| 3075F |
|
1,676 |
1,566 |
$32.63 |
| 3044F |
|
2,524 |
2,226 |
$28.73 |
| 1036F |
|
16,054 |
13,232 |
$25.25 |
| 93000 |
|
32 |
30 |
$23.94 |
| 3074F |
|
8,863 |
8,103 |
$12.83 |
| 3016F |
|
2,040 |
1,864 |
$12.65 |
| 3288F |
|
3,871 |
3,440 |
$12.65 |
| 3078F |
|
8,206 |
7,472 |
$12.64 |
| 1000F |
|
17,475 |
14,286 |
$12.62 |
| 3079F |
|
2,532 |
2,331 |
$12.62 |
| 3077F |
|
807 |
737 |
$0.07 |
| 1034F |
|
2,719 |
2,339 |
$0.02 |
| 1158F |
|
837 |
778 |
$0.02 |
| 92551 |
|
66 |
58 |
$0.00 |
| 1220F |
|
16,464 |
13,812 |
$0.00 |
| 3080F |
|
272 |
246 |
$0.00 |
| 1111F |
|
364 |
337 |
$0.00 |
| 1160F |
|
952 |
858 |
$0.00 |