| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,393 |
6,248 |
$379K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,274 |
1,779 |
$142K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,690 |
1,094 |
$114K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,194 |
845 |
$88K |
| T1015 |
Clinic visit/encounter, all-inclusive |
10,799 |
6,313 |
$76K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,803 |
1,010 |
$61K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
711 |
563 |
$53K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
404 |
309 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
742 |
443 |
$26K |
| 59425 |
|
395 |
211 |
$20K |
| 59426 |
|
245 |
85 |
$20K |
| 99215 |
Prolong outpt/office vis |
214 |
171 |
$15K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,483 |
1,589 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,483 |
2,291 |
$12K |
| 90651 |
|
105 |
80 |
$11K |
| 99383 |
|
114 |
107 |
$8K |
| 99382 |
|
74 |
57 |
$6K |
| 99381 |
|
54 |
44 |
$3K |
| 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 |
144 |
88 |
$3K |
| 90474 |
|
672 |
413 |
$2K |
| 90686 |
|
325 |
235 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
35 |
31 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,504 |
1,239 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
99 |
95 |
$1K |
| 90670 |
|
1,300 |
805 |
$1K |
| 99384 |
|
14 |
14 |
$1K |
| 81025 |
|
60 |
36 |
$438.74 |
| 90756 |
|
99 |
69 |
$275.10 |
| 90658 |
|
15 |
13 |
$270.44 |
| 81002 |
|
101 |
56 |
$165.84 |
| 96152 |
|
21 |
20 |
$89.72 |
| 90647 |
|
460 |
303 |
$80.28 |
| 86703 |
|
22 |
14 |
$27.42 |
| 90633 |
|
397 |
285 |
$0.07 |
| 90734 |
|
49 |
47 |
$0.03 |
| 90715 |
|
17 |
17 |
$0.01 |
| 90680 |
|
608 |
382 |
$0.01 |
| 90710 |
|
139 |
91 |
$0.00 |
| 82947 |
|
54 |
39 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$0.00 |
| 90723 |
|
351 |
238 |
$0.00 |
| 90698 |
|
70 |
42 |
$0.00 |
| 90688 |
|
14 |
14 |
$0.00 |
| 90696 |
|
23 |
16 |
$0.00 |