| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,107 |
4,652 |
$802K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
822 |
710 |
$114K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
145 |
143 |
$27K |
| 90832 |
Psychotherapy, 30 minutes with patient |
149 |
138 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
54 |
54 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$2K |
| 99384 |
|
14 |
14 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
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 |
606 |
480 |
$910.65 |
| 90686 |
|
329 |
323 |
$19.58 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
814 |
795 |
$0.02 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
30 |
$0.00 |
| 90651 |
|
37 |
35 |
$0.00 |
| 90619 |
|
44 |
42 |
$0.00 |
| 90620 |
|
28 |
26 |
$0.00 |
| 90461 |
|
263 |
256 |
$0.00 |
| 81003 |
|
92 |
89 |
$0.00 |
| 90734 |
|
48 |
45 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$0.00 |
| 90715 |
|
13 |
12 |
$0.00 |