| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,229 |
19,714 |
$3.34M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
403 |
322 |
$75K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
314 |
308 |
$32K |
| 90834 |
Psychotherapy, 45 minutes with patient |
92 |
69 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
60 |
58 |
$9K |
| 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 |
317 |
258 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
69 |
68 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
59 |
53 |
$7K |
| 90686 |
|
418 |
412 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,428 |
1,388 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
26 |
26 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
290 |
242 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
12 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
5,473 |
5,080 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
18 |
12 |
$3K |
| 81025 |
|
1,115 |
1,008 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,675 |
4,818 |
$2K |
| 99000 |
|
4,821 |
4,543 |
$269.95 |
| 90682 |
|
12 |
12 |
$198.43 |
| 85018 |
|
43 |
42 |
$0.00 |
| 36416 |
|
13 |
12 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
31 |
29 |
$0.00 |
| 0502F |
|
175 |
127 |
$0.00 |
| 81003 |
|
339 |
309 |
$0.00 |
| H0031 |
Mental health assessment, by non-physician |
29 |
29 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
13 |
12 |
$0.00 |