| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,046 |
6,604 |
$295K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,269 |
1,064 |
$100K |
| T1015 |
Clinic visit/encounter, all-inclusive |
7,613 |
4,938 |
$96K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
878 |
735 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,199 |
917 |
$67K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
859 |
717 |
$65K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,255 |
661 |
$55K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,019 |
754 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
251 |
224 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,696 |
2,072 |
$15K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,554 |
1,198 |
$10K |
| 99215 |
Prolong outpt/office vis |
52 |
41 |
$5K |
| 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 |
186 |
132 |
$4K |
| 90686 |
|
277 |
226 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
94 |
81 |
$2K |
| 90670 |
|
600 |
485 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,476 |
1,288 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
18 |
12 |
$1K |
| 90474 |
|
143 |
108 |
$955.92 |
| 82962 |
|
448 |
368 |
$881.67 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
31 |
27 |
$439.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33 |
28 |
$343.93 |
| 86703 |
|
38 |
31 |
$288.24 |
| 81002 |
|
28 |
25 |
$27.96 |
| 90633 |
|
148 |
127 |
$0.01 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90680 |
|
129 |
96 |
$0.00 |
| 90698 |
|
196 |
140 |
$0.00 |
| 90647 |
|
29 |
27 |
$0.00 |
| 90723 |
|
18 |
12 |
$0.00 |
| 90734 |
|
95 |
71 |
$0.00 |
| 90710 |
|
115 |
93 |
$0.00 |
| 82947 |
|
31 |
13 |
$0.00 |
| 59426 |
|
29 |
24 |
$0.00 |