| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,243 |
11,495 |
$1.82M |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,816 |
3,288 |
$581K |
| T1015 |
Clinic visit/encounter, all-inclusive |
4,616 |
3,997 |
$314K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,187 |
2,092 |
$314K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,784 |
1,739 |
$269K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,075 |
1,056 |
$170K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
858 |
844 |
$131K |
| 90791 |
Psychiatric diagnostic evaluation |
602 |
602 |
$90K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,903 |
2,753 |
$76K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
330 |
327 |
$51K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
342 |
334 |
$27K |
| 90834 |
Psychotherapy, 45 minutes with patient |
154 |
143 |
$20K |
| 90837 |
Psychotherapy, 53 minutes with patient |
130 |
78 |
$19K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
117 |
117 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
97 |
95 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
75 |
70 |
$10K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
21 |
14 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,818 |
2,780 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
694 |
622 |
$4K |
| 81025 |
|
1,156 |
1,073 |
$4K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
12 |
12 |
$3K |
| 85018 |
|
2,758 |
2,664 |
$2K |
| 99406 |
|
251 |
239 |
$2K |
| 90461 |
|
378 |
339 |
$2K |
| 82947 |
|
1,785 |
1,713 |
$2K |
| 87430 |
|
481 |
466 |
$2K |
| 90686 |
|
644 |
622 |
$1K |
| 90715 |
|
187 |
185 |
$823.07 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
20 |
14 |
$798.60 |
| D1120 |
Prophylaxis - child |
17 |
17 |
$591.60 |
| G9153 |
Mapcp demonstration - physician incentive pool |
14 |
14 |
$420.00 |
| 82962 |
|
305 |
286 |
$347.64 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
78 |
74 |
$312.69 |
| D0272 |
Bitewings - two radiographic images |
16 |
16 |
$303.04 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
53 |
51 |
$280.64 |
| D1206 |
Topical application of fluoride varnish |
17 |
17 |
$275.40 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
202 |
191 |
$259.96 |
| 90651 |
|
295 |
284 |
$224.96 |
| 90688 |
|
13 |
13 |
$184.68 |
| 81003 |
|
265 |
253 |
$168.24 |
| 87400 |
|
30 |
30 |
$150.37 |
| 81005 |
|
82 |
72 |
$89.13 |
| 90670 |
|
27 |
26 |
$64.57 |
| 90685 |
|
113 |
112 |
$33.01 |
| 90633 |
|
72 |
65 |
$32.26 |
| 99173 |
|
174 |
174 |
$22.28 |
| 90620 |
|
18 |
13 |
$0.13 |
| 3078F |
|
1,405 |
1,323 |
$0.07 |
| 3079F |
|
400 |
392 |
$0.07 |
| 90649 |
|
18 |
15 |
$0.02 |
| 1159F |
|
1,745 |
1,628 |
$0.00 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
242 |
226 |
$0.00 |
| 90734 |
|
107 |
106 |
$0.00 |
| 3077F |
|
13 |
13 |
$0.00 |
| 1126F |
|
213 |
210 |
$0.00 |
| 3008F |
|
1,029 |
935 |
$0.00 |
| 3074F |
|
1,307 |
1,229 |
$0.00 |
| 3044F |
|
190 |
188 |
$0.00 |
| 4037F |
|
15 |
13 |
$0.00 |
| 4010F |
|
28 |
28 |
$0.00 |
| 1220F |
|
43 |
43 |
$0.00 |
| 1125F |
|
105 |
102 |
$0.00 |
| 3075F |
|
29 |
28 |
$0.00 |
| 1036F |
|
12 |
12 |
$0.00 |
| 87807 |
|
13 |
13 |
$0.00 |