| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54,932 |
50,868 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
34,730 |
31,736 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,457 |
3,444 |
$5K |
| 90686 |
|
1,908 |
1,905 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
343 |
336 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,954 |
3,817 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
608 |
605 |
$979.96 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,361 |
5,294 |
$809.57 |
| 90658 |
|
76 |
76 |
$541.80 |
| 82948 |
|
10,132 |
9,830 |
$439.49 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
383 |
383 |
$379.96 |
| 90750 |
|
288 |
287 |
$200.34 |
| 92551 |
|
523 |
522 |
$187.34 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
165 |
165 |
$130.23 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
910 |
902 |
$119.90 |
| 99385 |
|
25 |
25 |
$112.96 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,051 |
5,034 |
$76.05 |
| 90746 |
|
505 |
501 |
$74.09 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
613 |
583 |
$59.76 |
| 85018 |
|
1,088 |
1,082 |
$55.35 |
| 90837 |
Psychotherapy, 53 minutes with patient |
108 |
90 |
$38.01 |
| 81002 |
|
979 |
790 |
$36.27 |
| 92002 |
|
99 |
99 |
$32.80 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
14 |
13 |
$22.59 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
88 |
85 |
$8.76 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
207 |
203 |
$6.92 |
| 81003 |
|
1,956 |
1,587 |
$5.82 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,286 |
1,271 |
$0.00 |
| 3078F |
|
21,802 |
20,724 |
$0.00 |
| 1160F |
|
34,902 |
32,235 |
$0.00 |
| 4040F |
|
3,739 |
3,440 |
$0.00 |
| 4274F |
|
8,169 |
7,473 |
$0.00 |
| 1159F |
|
34,893 |
32,228 |
$0.00 |
| 3051F |
|
304 |
303 |
$0.00 |
| 59425 |
|
172 |
125 |
$0.00 |
| 3077F |
|
3,468 |
3,340 |
$0.00 |
| 90736 |
|
355 |
355 |
$0.00 |
| 81025 |
|
790 |
778 |
$0.00 |
| 99173 |
|
558 |
557 |
$0.00 |
| 90740 |
|
140 |
140 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
226 |
209 |
$0.00 |
| 90461 |
|
359 |
355 |
$0.00 |
| 92015 |
Determination of refractive state |
440 |
433 |
$0.00 |
| 90715 |
|
380 |
379 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26 |
26 |
$0.00 |
| 2028F |
|
129 |
129 |
$0.00 |
| 90734 |
|
26 |
26 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
83 |
83 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |
| 3046F |
|
345 |
345 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
105 |
104 |
$0.00 |
| 90661 |
|
79 |
79 |
$0.00 |
| 90621 |
|
14 |
14 |
$0.00 |
| 86703 |
|
26 |
26 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
95 |
94 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 2010F |
|
33,631 |
31,440 |
$0.00 |
| 1036F |
|
40,728 |
37,169 |
$0.00 |
| 92250 |
|
347 |
347 |
$0.00 |
| 2000F |
|
27,188 |
25,706 |
$0.00 |
| 2001F |
|
27,498 |
26,030 |
$0.00 |
| 1126F |
|
18,355 |
17,405 |
$0.00 |
| 3351F |
|
32,105 |
29,894 |
$0.00 |
| 3008F |
|
27,434 |
25,971 |
$0.00 |
| 3075F |
|
2,907 |
2,875 |
$0.00 |
| 3074F |
|
19,064 |
18,088 |
$0.00 |
| 3044F |
|
795 |
794 |
$0.00 |
| 3079F |
|
3,412 |
3,350 |
$0.00 |
| 1170F |
|
31,618 |
29,462 |
$0.00 |
| 93000 |
|
332 |
331 |
$0.00 |
| 1125F |
|
3,371 |
3,294 |
$0.00 |
| 3080F |
|
523 |
496 |
$0.00 |
| 3052F |
|
176 |
175 |
$0.00 |
| 1034F |
|
1,371 |
1,272 |
$0.00 |
| 4010F |
|
9,097 |
8,305 |
$0.00 |
| 4037F |
|
856 |
853 |
$0.00 |
| 90674 |
|
213 |
213 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
543 |
389 |
$0.00 |
| 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 |
111 |
106 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
47 |
47 |
$0.00 |
| 90677 |
|
255 |
255 |
$0.00 |
| 3352F |
|
31 |
31 |
$0.00 |
| 0011A |
|
106 |
106 |
$0.00 |
| 88142 |
|
38 |
38 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
50 |
34 |
$0.00 |
| 90651 |
|
83 |
83 |
$0.00 |
| 99386 |
|
26 |
26 |
$0.00 |
| 2023F |
|
29 |
29 |
$0.00 |
| 90732 |
|
24 |
24 |
$0.00 |
| 90656 |
|
23 |
23 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
24 |
24 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
17 |
16 |
$0.00 |