| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
165,901 |
126,395 |
$22.67M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,234 |
9,250 |
$1.47M |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
15,208 |
4,085 |
$1.17M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,478 |
5,895 |
$969K |
| 90832 |
Psychotherapy, 30 minutes with patient |
6,197 |
4,204 |
$934K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,824 |
1,654 |
$292K |
| 97162 |
|
1,752 |
1,288 |
$214K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,270 |
879 |
$179K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,239 |
965 |
$176K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,296 |
890 |
$158K |
| 97014 |
|
3,167 |
1,477 |
$101K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
2,789 |
1,279 |
$62K |
| 99442 |
|
599 |
479 |
$52K |
| 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 |
809 |
410 |
$43K |
| D0210 |
Intraoral - complete series of radiographic images |
210 |
165 |
$27K |
| 99443 |
|
125 |
57 |
$12K |
| 90791 |
Psychiatric diagnostic evaluation |
92 |
85 |
$12K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
124 |
107 |
$8K |
| D0140 |
Limited oral evaluation - problem focused |
87 |
74 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
53 |
43 |
$8K |
| 97010 |
|
714 |
328 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,618 |
1,323 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
40 |
28 |
$6K |
| 99386 |
|
31 |
29 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
40 |
27 |
$4K |
| 99441 |
|
66 |
50 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
556 |
533 |
$3K |
| 99383 |
|
12 |
12 |
$3K |
| 99205 |
Prolong outpt/office vis |
17 |
12 |
$3K |
| 99382 |
|
22 |
15 |
$3K |
| 90658 |
|
234 |
232 |
$2K |
| D1110 |
Prophylaxis - adult |
16 |
14 |
$2K |
| 82962 |
|
1,358 |
1,279 |
$2K |
| 97164 |
|
22 |
15 |
$2K |
| 82274 |
|
218 |
211 |
$2K |
| 81025 |
|
1,083 |
1,047 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
366 |
357 |
$996.17 |
| 90694 |
|
123 |
123 |
$831.11 |
| 87390 |
|
133 |
133 |
$510.00 |
| 92551 |
|
159 |
157 |
$303.99 |
| G0008 |
Administration of influenza virus vaccine |
123 |
119 |
$273.78 |
| 99402 |
|
12 |
12 |
$267.20 |
| 99173 |
|
136 |
136 |
$206.51 |
| 87391 |
|
132 |
132 |
$200.00 |
| 90461 |
|
278 |
269 |
$160.08 |
| 93268 |
|
20 |
20 |
$78.99 |
| 94150 |
|
70 |
66 |
$70.00 |
| 97802 |
|
13 |
13 |
$32.38 |
| 90657 |
|
19 |
19 |
$11.86 |
| 86580 |
|
17 |
17 |
$9.79 |
| 99447 |
|
13 |
12 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 86480 |
|
12 |
12 |
$0.00 |