| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,420 |
1,353 |
$19K |
| G9012 |
Other specified case management service not elsewhere classified |
3,067 |
1,762 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
220 |
213 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
492 |
470 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
81 |
81 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
85 |
85 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
92 |
90 |
$2K |
| 3078F |
|
301 |
296 |
$1K |
| 3074F |
|
262 |
257 |
$1K |
| G9920 |
Screening performed and negative |
89 |
87 |
$1K |
| 92551 |
|
128 |
128 |
$1K |
| 83655 |
|
57 |
57 |
$473.40 |
| 85018 |
|
254 |
254 |
$332.05 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
661 |
658 |
$185.80 |
| 90686 |
|
39 |
39 |
$178.00 |
| 90647 |
|
24 |
24 |
$108.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
89 |
87 |
$63.00 |
| 99173 |
|
87 |
87 |
$59.30 |
| 3079F |
|
58 |
58 |
$40.00 |
| 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 |
14 |
12 |
$34.82 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
146 |
142 |
$0.14 |
| 1160F |
|
472 |
459 |
$0.00 |
| 1159F |
|
418 |
407 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
13 |
13 |
$0.00 |
| 82948 |
|
39 |
39 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
118 |
114 |
$0.00 |
| 90670 |
|
15 |
15 |
$0.00 |
| 1126F |
|
373 |
358 |
$0.00 |
| 1125F |
|
24 |
24 |
$0.00 |
| 1101F |
|
27 |
27 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
18 |
13 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$0.00 |