| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,214 |
18,771 |
$2.80M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,788 |
13,449 |
$2.02M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
942 |
939 |
$170K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,033 |
1,019 |
$160K |
| 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 |
6,521 |
5,612 |
$159K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,115 |
648 |
$148K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
748 |
748 |
$133K |
| 90834 |
Psychotherapy, 45 minutes with patient |
814 |
457 |
$121K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
981 |
741 |
$112K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
756 |
720 |
$111K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
516 |
511 |
$90K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
857 |
773 |
$74K |
| 99215 |
Prolong outpt/office vis |
466 |
432 |
$71K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
247 |
241 |
$39K |
| 92551 |
|
378 |
378 |
$39K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
196 |
180 |
$35K |
| 0012A |
|
195 |
194 |
$34K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
200 |
198 |
$31K |
| 0011A |
|
184 |
177 |
$30K |
| 0064A |
|
150 |
149 |
$24K |
| 0134A |
|
103 |
103 |
$16K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
93 |
92 |
$15K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
82 |
82 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
74 |
74 |
$12K |
| 0031A |
|
68 |
68 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
68 |
68 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
116 |
99 |
$11K |
| 90791 |
Psychiatric diagnostic evaluation |
61 |
60 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
536 |
457 |
$10K |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
265 |
255 |
$10K |
| 0072A |
|
53 |
53 |
$9K |
| 90480 |
|
175 |
172 |
$9K |
| 99442 |
|
53 |
52 |
$9K |
| 99443 |
|
44 |
43 |
$8K |
| 3008F |
|
548 |
535 |
$7K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
549 |
548 |
$6K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
66 |
64 |
$5K |
| 0071A |
|
31 |
31 |
$5K |
| 96127 |
|
1,022 |
870 |
$4K |
| S9999 |
Sales tax |
437 |
356 |
$3K |
| 80305 |
|
169 |
159 |
$3K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
49 |
25 |
$2K |
| 91322 |
|
12 |
12 |
$2K |
| 3079F |
|
16 |
16 |
$2K |
| 90461 |
|
37 |
36 |
$2K |
| 90686 |
|
287 |
226 |
$2K |
| 1036F |
|
259 |
249 |
$1K |
| 1160F |
|
449 |
432 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
88 |
80 |
$778.84 |
| 3074F |
|
233 |
231 |
$619.93 |
| 1126F |
|
91 |
91 |
$538.86 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
62 |
55 |
$409.78 |
| 90715 |
|
17 |
16 |
$226.84 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
45 |
43 |
$140.56 |
| 99173 |
|
123 |
112 |
$135.65 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
35 |
34 |
$118.03 |
| 36415 |
Collection of venous blood by venipuncture |
41 |
38 |
$87.42 |
| 81025 |
|
14 |
14 |
$49.32 |
| 81002 |
|
18 |
14 |
$3.67 |
| 90734 |
|
37 |
25 |
$0.02 |
| 3078F |
|
189 |
188 |
$0.00 |
| 3725F |
|
106 |
105 |
$0.00 |