| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41,767 |
37,068 |
$234K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,811 |
12,030 |
$191K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,179 |
1,822 |
$125K |
| 90791 |
Psychiatric diagnostic evaluation |
885 |
881 |
$117K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,122 |
972 |
$84K |
| 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 |
4,027 |
3,465 |
$55K |
| 90837 |
Psychotherapy, 53 minutes with patient |
455 |
388 |
$54K |
| 92551 |
|
2,594 |
2,587 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12,280 |
11,077 |
$28K |
| 90651 |
|
98 |
98 |
$25K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
721 |
710 |
$25K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
349 |
347 |
$22K |
| G9012 |
Other specified case management service not elsewhere classified |
3,298 |
2,562 |
$17K |
| 99215 |
Prolong outpt/office vis |
331 |
312 |
$11K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
79 |
79 |
$11K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
7,585 |
4,804 |
$10K |
| 88141 |
|
175 |
76 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
845 |
844 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
188 |
188 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,243 |
1,242 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,005 |
2,003 |
$6K |
| 92250 |
|
224 |
224 |
$4K |
| 90656 |
|
143 |
143 |
$3K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
138 |
126 |
$2K |
| 90715 |
|
46 |
46 |
$2K |
| 81025 |
|
848 |
820 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
234 |
234 |
$2K |
| 81003 |
|
2,437 |
2,318 |
$1K |
| 85018 |
|
4,636 |
4,615 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
50 |
50 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
356 |
356 |
$1K |
| 90688 |
|
86 |
86 |
$952.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,793 |
1,780 |
$599.60 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
100 |
100 |
$548.30 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
123 |
122 |
$470.16 |
| 74018 |
|
16 |
14 |
$394.08 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
31 |
31 |
$375.13 |
| 82947 |
|
2,128 |
1,939 |
$351.13 |
| 90686 |
|
487 |
487 |
$290.08 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
401 |
396 |
$274.08 |
| 88142 |
|
12 |
12 |
$216.00 |
| 86580 |
|
359 |
359 |
$196.68 |
| 87490 |
|
29 |
29 |
$103.24 |
| 87590 |
|
29 |
29 |
$103.24 |
| 99188 |
|
45 |
45 |
$54.00 |
| 86403 |
|
53 |
52 |
$36.92 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54 |
54 |
$20.97 |
| 85014 |
|
71 |
71 |
$13.40 |
| 82950 |
|
77 |
70 |
$4.66 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
15 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
359 |
354 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
70 |
54 |
$0.00 |
| 90461 |
|
211 |
209 |
$0.00 |
| 90670 |
|
96 |
94 |
$0.00 |
| 3078F |
|
183 |
177 |
$0.00 |
| 90648 |
|
115 |
115 |
$0.00 |
| 99173 |
|
27 |
27 |
$0.00 |
| 90633 |
|
70 |
70 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90710 |
|
14 |
14 |
$0.00 |
| 3074F |
|
181 |
175 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,672 |
1,393 |
$0.00 |
| 90698 |
|
37 |
37 |
$0.00 |
| 90677 |
|
53 |
53 |
$0.00 |
| 90696 |
|
25 |
25 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |