| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,506 |
11,681 |
$421K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,921 |
4,647 |
$237K |
| 99442 |
|
3,049 |
2,889 |
$103K |
| 90791 |
Psychiatric diagnostic evaluation |
539 |
536 |
$60K |
| 90832 |
Psychotherapy, 30 minutes with patient |
880 |
756 |
$39K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
655 |
650 |
$38K |
| 99441 |
|
1,785 |
1,722 |
$36K |
| 98968 |
|
691 |
582 |
$29K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
419 |
418 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
431 |
427 |
$24K |
| 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 |
957 |
818 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
322 |
313 |
$19K |
| 99443 |
|
430 |
412 |
$19K |
| 90686 |
|
2,062 |
2,049 |
$16K |
| 36415 |
Collection of venous blood by venipuncture |
4,395 |
4,293 |
$10K |
| 0012A |
|
198 |
197 |
$7K |
| 90674 |
|
263 |
261 |
$7K |
| T1015 |
Clinic visit/encounter, all-inclusive |
223 |
212 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
746 |
734 |
$6K |
| 97802 |
|
150 |
149 |
$6K |
| 92551 |
|
1,104 |
1,095 |
$6K |
| 98967 |
|
177 |
129 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
215 |
212 |
$5K |
| 99422 |
|
145 |
139 |
$5K |
| 0011A |
|
185 |
185 |
$5K |
| 99383 |
|
56 |
56 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
59 |
59 |
$3K |
| 97810 |
|
72 |
45 |
$2K |
| 99173 |
|
1,434 |
1,420 |
$2K |
| 99188 |
|
366 |
332 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
172 |
171 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
186 |
126 |
$2K |
| 99421 |
|
101 |
100 |
$2K |
| 97811 |
|
72 |
45 |
$2K |
| 90651 |
|
167 |
162 |
$2K |
| 90670 |
|
160 |
159 |
$1K |
| 99423 |
|
27 |
26 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 82274 |
|
68 |
67 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
170 |
166 |
$913.94 |
| 96156 |
|
12 |
12 |
$835.01 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
77 |
69 |
$770.05 |
| 97803 |
|
20 |
20 |
$657.65 |
| 0064A |
|
16 |
16 |
$640.00 |
| 90715 |
|
27 |
27 |
$444.63 |
| 90633 |
|
64 |
64 |
$441.91 |
| 85018 |
|
263 |
261 |
$371.88 |
| 90756 |
|
16 |
16 |
$341.85 |
| 83655 |
|
29 |
29 |
$307.72 |
| 36416 |
|
218 |
215 |
$279.59 |
| 90734 |
|
41 |
41 |
$273.01 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
26 |
24 |
$202.49 |
| 90710 |
|
24 |
24 |
$182.90 |
| 90619 |
|
18 |
18 |
$168.14 |
| 90698 |
|
12 |
12 |
$155.99 |
| 90681 |
|
27 |
27 |
$147.86 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$97.24 |
| 90744 |
|
13 |
12 |
$44.13 |
| 90656 |
|
21 |
21 |
$23.58 |
| 90672 |
|
14 |
14 |
$0.00 |
| 3078F |
|
15 |
14 |
$0.00 |
| 91301 |
|
379 |
368 |
$0.00 |
| 91306 |
|
15 |
15 |
$0.00 |
| 3074F |
|
13 |
12 |
$0.00 |