| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,410 |
8,189 |
$1.14M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,593 |
1,487 |
$193K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
627 |
583 |
$89K |
| 90834 |
Psychotherapy, 45 minutes with patient |
588 |
323 |
$56K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
280 |
252 |
$42K |
| 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 |
1,004 |
823 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
109 |
103 |
$18K |
| 90837 |
Psychotherapy, 53 minutes with patient |
136 |
69 |
$18K |
| 90791 |
Psychiatric diagnostic evaluation |
35 |
35 |
$6K |
| 90688 |
|
69 |
69 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
29 |
29 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
348 |
333 |
$1K |
| 90686 |
|
12 |
12 |
$788.23 |
| 99000 |
|
169 |
159 |
$204.24 |
| 80305 |
|
187 |
118 |
$25.22 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
577 |
531 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
46 |
39 |
$0.00 |
| 36416 |
|
15 |
14 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
94 |
94 |
$0.00 |