| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,104 |
3,659 |
$660K |
| D0999 |
Unspecified diagnostic procedure, by report |
2,948 |
2,713 |
$567K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,465 |
3,098 |
$529K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,197 |
836 |
$199K |
| 90837 |
Psychotherapy, 53 minutes with patient |
788 |
475 |
$139K |
| 99441 |
|
329 |
312 |
$54K |
| 99442 |
|
272 |
252 |
$43K |
| Q3014 |
Telehealth originating site facility fee |
275 |
148 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
127 |
125 |
$19K |
| 0011A |
|
95 |
95 |
$16K |
| H2015 |
Comprehensive community support services, per 15 minutes |
91 |
51 |
$15K |
| 0012A |
|
78 |
77 |
$13K |
| 90832 |
Psychotherapy, 30 minutes with patient |
57 |
42 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
43 |
42 |
$7K |
| 91301 |
|
55 |
55 |
$4K |
| 99215 |
Prolong outpt/office vis |
24 |
24 |
$4K |
| 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 |
96 |
69 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$2K |
| 0013A |
|
14 |
12 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
67 |
63 |
$807.12 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
202 |
201 |
$718.48 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
166 |
164 |
$568.56 |
| 36415 |
Collection of venous blood by venipuncture |
808 |
787 |
$530.17 |
| 80053 |
Comprehensive metabolic panel |
435 |
430 |
$346.26 |
| 90686 |
|
88 |
88 |
$2.44 |
| 99173 |
|
15 |
15 |
$0.00 |
| 80061 |
Lipid panel |
80 |
80 |
$0.00 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
111 |
111 |
$0.00 |
| 90688 |
|
93 |
93 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
40 |
40 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
41 |
41 |
$0.00 |