| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,121 |
15,745 |
$3.11M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,962 |
9,992 |
$1.89M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,084 |
1,990 |
$311K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
1,350 |
721 |
$179K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
866 |
853 |
$168K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
775 |
747 |
$148K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,369 |
4,167 |
$140K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
621 |
597 |
$124K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
510 |
490 |
$97K |
| 90832 |
Psychotherapy, 30 minutes with patient |
867 |
415 |
$81K |
| H0031 |
Mental health assessment, by non-physician |
655 |
362 |
$70K |
| 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 |
2,164 |
1,980 |
$48K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
920 |
883 |
$38K |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
264 |
161 |
$28K |
| 99215 |
Prolong outpt/office vis |
147 |
143 |
$27K |
| 54150 |
|
97 |
91 |
$19K |
| 90461 |
|
1,905 |
1,837 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
56 |
53 |
$11K |
| 99381 |
|
33 |
33 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
144 |
136 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
12 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,007 |
4,638 |
$227.99 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
23 |
12 |
$220.92 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
25 |
25 |
$209.59 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
2,654 |
2,240 |
$0.00 |
| 90710 |
|
181 |
175 |
$0.00 |
| 90715 |
|
64 |
60 |
$0.00 |
| 90700 |
|
24 |
24 |
$0.00 |
| 90670 |
|
739 |
712 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
103 |
103 |
$0.00 |
| 90633 |
|
617 |
592 |
$0.00 |
| 99173 |
|
144 |
140 |
$0.00 |
| 90734 |
|
125 |
123 |
$0.00 |
| 81002 |
|
116 |
113 |
$0.00 |
| 81025 |
|
20 |
17 |
$0.00 |
| 90648 |
|
72 |
71 |
$0.00 |
| 1160F |
|
143 |
141 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
51 |
51 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
12 |
12 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
14 |
14 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
16 |
$0.00 |
| 90680 |
|
357 |
345 |
$0.00 |
| 90698 |
|
420 |
403 |
$0.00 |
| 90686 |
|
1,327 |
1,278 |
$0.00 |
| 90651 |
|
340 |
319 |
$0.00 |
| 90688 |
|
1,070 |
1,029 |
$0.00 |
| 36416 |
|
85 |
75 |
$0.00 |
| 90744 |
|
227 |
216 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
127 |
126 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
79 |
72 |
$0.00 |
| 90723 |
|
14 |
14 |
$0.00 |
| 90697 |
|
26 |
26 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
52 |
52 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
16 |
15 |
$0.00 |