| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,425 |
18,529 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,872 |
3,630 |
$14K |
| 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 |
917 |
702 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,573 |
2,729 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
115 |
111 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,900 |
1,482 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
83 |
83 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
2,718 |
2,597 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
100 |
100 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
124 |
124 |
$1K |
| 97810 |
|
992 |
652 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
352 |
351 |
$1K |
| 99000 |
|
2,637 |
2,552 |
$774.70 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
110 |
110 |
$694.56 |
| 92551 |
|
677 |
674 |
$668.54 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
16 |
16 |
$496.04 |
| 98940 |
|
2,461 |
1,679 |
$460.36 |
| 90715 |
|
78 |
78 |
$439.95 |
| 92015 |
Determination of refractive state |
109 |
109 |
$410.87 |
| 97811 |
|
639 |
421 |
$408.81 |
| 93000 |
|
52 |
51 |
$341.21 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
49 |
49 |
$259.14 |
| 90686 |
|
408 |
408 |
$180.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$136.42 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,559 |
1,536 |
$127.28 |
| 81002 |
|
593 |
575 |
$119.18 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
52 |
51 |
$110.16 |
| 90688 |
|
118 |
118 |
$108.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
215 |
214 |
$102.56 |
| 90651 |
|
54 |
54 |
$99.00 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$57.20 |
| 82947 |
|
165 |
144 |
$55.59 |
| 90670 |
|
25 |
25 |
$45.00 |
| 85018 |
|
130 |
127 |
$43.05 |
| 81025 |
|
114 |
112 |
$38.78 |
| 90734 |
|
15 |
15 |
$36.00 |
| 90620 |
|
12 |
12 |
$18.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
59 |
58 |
$8.76 |
| 86580 |
|
53 |
52 |
$3.33 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
98 |
97 |
$0.00 |
| 3077F |
|
121 |
114 |
$0.00 |
| 99173 |
|
795 |
794 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
149 |
146 |
$0.00 |
| 3078F |
|
521 |
491 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
27 |
27 |
$0.00 |
| 2001F |
|
1,235 |
1,113 |
$0.00 |
| 1126F |
|
673 |
624 |
$0.00 |
| 2000F |
|
1,185 |
1,069 |
$0.00 |
| 2010F |
|
1,238 |
1,118 |
$0.00 |
| 3074F |
|
562 |
531 |
$0.00 |
| 3008F |
|
1,219 |
1,099 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$0.00 |
| 3079F |
|
182 |
172 |
$0.00 |
| 3080F |
|
28 |
26 |
$0.00 |
| 1125F |
|
79 |
78 |
$0.00 |
| 97802 |
|
68 |
64 |
$0.00 |
| 3075F |
|
43 |
40 |
$0.00 |