| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,900 |
13,115 |
$716K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
6,620 |
3,887 |
$602K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,036 |
7,962 |
$526K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,044 |
676 |
$62K |
| 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 |
4,163 |
2,333 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
289 |
254 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
86 |
84 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
60 |
58 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
49 |
47 |
$4K |
| 99215 |
Prolong outpt/office vis |
49 |
41 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
34 |
33 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
262 |
259 |
$2K |
| 36416 |
|
641 |
534 |
$830.92 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
120 |
120 |
$700.00 |
| 0001A |
|
21 |
17 |
$680.00 |
| 0011A |
|
15 |
12 |
$400.00 |
| 85018 |
|
349 |
341 |
$295.14 |
| 81002 |
|
905 |
864 |
$293.35 |
| 1126F |
|
7,074 |
6,365 |
$259.64 |
| 36415 |
Collection of venous blood by venipuncture |
470 |
427 |
$181.49 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
351 |
333 |
$133.68 |
| 3074F |
|
8,407 |
7,694 |
$63.59 |
| 81025 |
|
162 |
152 |
$63.17 |
| 99173 |
|
218 |
203 |
$50.41 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
106 |
103 |
$49.60 |
| 1125F |
|
2,530 |
2,279 |
$28.59 |
| 1158F |
|
342 |
318 |
$19.95 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
64 |
64 |
$19.90 |
| 1159F |
|
8,753 |
7,727 |
$13.23 |
| 1000F |
|
13,608 |
11,537 |
$12.70 |
| 1034F |
|
3,532 |
3,001 |
$12.69 |
| 3075F |
|
1,045 |
986 |
$5.74 |
| 1036F |
|
10,207 |
8,771 |
$0.23 |
| 3078F |
|
7,611 |
6,847 |
$0.07 |
| 3288F |
|
651 |
591 |
$0.06 |
| 3079F |
|
2,675 |
2,446 |
$0.05 |
| 3077F |
|
311 |
276 |
$0.05 |
| 1220F |
|
14,596 |
12,689 |
$0.04 |
| 3016F |
|
3,131 |
2,781 |
$0.02 |
| 3044F |
|
62 |
58 |
$0.00 |
| 92551 |
|
83 |
81 |
$0.00 |
| 3080F |
|
13 |
12 |
$0.00 |
| 90651 |
|
29 |
29 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
16 |
14 |
$0.00 |
| 1160F |
|
19 |
19 |
$0.00 |
| 90715 |
|
27 |
27 |
$0.00 |