| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,879 |
13,107 |
$2.69M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,748 |
1,605 |
$320K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
1,525 |
726 |
$149K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
729 |
672 |
$131K |
| H0031 |
Mental health assessment, by non-physician |
1,217 |
732 |
$119K |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
337 |
245 |
$34K |
| 90832 |
Psychotherapy, 30 minutes with patient |
482 |
265 |
$32K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
111 |
104 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
389 |
366 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
232 |
218 |
$9K |
| 90791 |
Psychiatric diagnostic evaluation |
89 |
53 |
$6K |
| 90834 |
Psychotherapy, 45 minutes with patient |
172 |
29 |
$4K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$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 |
15 |
13 |
$535.20 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,296 |
1,217 |
$0.00 |
| 90688 |
|
323 |
299 |
$0.00 |
| 90686 |
|
117 |
110 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
829 |
763 |
$0.00 |
| 81002 |
|
142 |
137 |
$0.00 |
| 90461 |
|
13 |
13 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
93 |
87 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
55 |
55 |
$0.00 |