| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,516 |
3,328 |
$110K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,310 |
1,236 |
$61K |
| 90832 |
Psychotherapy, 30 minutes with patient |
454 |
361 |
$19K |
| 90686 |
|
219 |
217 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
111 |
109 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
44 |
43 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
432 |
418 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
13 |
13 |
$1K |
| 80305 |
|
70 |
51 |
$796.43 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
93 |
92 |
$720.44 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
16 |
$711.76 |
| 96127 |
|
243 |
237 |
$650.08 |
| 90834 |
Psychotherapy, 45 minutes with patient |
12 |
12 |
$610.20 |
| 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 |
57 |
51 |
$369.75 |
| 90651 |
|
15 |
15 |
$177.21 |
| 92552 |
|
12 |
12 |
$154.64 |
| 81025 |
|
12 |
12 |
$102.96 |
| 3008F |
|
103 |
103 |
$0.00 |