| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,778 |
12,423 |
$433K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,975 |
10,960 |
$262K |
| 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 |
3,720 |
3,110 |
$73K |
| 90832 |
Psychotherapy, 30 minutes with patient |
862 |
601 |
$33K |
| 90686 |
|
1,874 |
1,847 |
$18K |
| 90791 |
Psychiatric diagnostic evaluation |
166 |
160 |
$16K |
| 0012A |
|
310 |
299 |
$10K |
| 90834 |
Psychotherapy, 45 minutes with patient |
190 |
148 |
$10K |
| 0011A |
|
344 |
337 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,487 |
1,447 |
$9K |
| 99215 |
Prolong outpt/office vis |
156 |
145 |
$8K |
| 0064A |
|
237 |
230 |
$7K |
| 80305 |
|
690 |
495 |
$6K |
| G9149 |
National committee for quality assurance - level 2 medical home |
29 |
29 |
$5K |
| 0124A |
|
324 |
321 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
72 |
70 |
$5K |
| 90837 |
Psychotherapy, 53 minutes with patient |
40 |
30 |
$3K |
| 91320 |
|
25 |
25 |
$3K |
| 0071A |
|
63 |
63 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
40 |
$2K |
| 99442 |
|
44 |
43 |
$1K |
| 0031A |
|
42 |
38 |
$908.48 |
| 0072A |
|
32 |
32 |
$880.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
23 |
23 |
$869.19 |
| T1015 |
Clinic visit/encounter, all-inclusive |
42 |
37 |
$844.50 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$802.20 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$790.86 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
38 |
36 |
$720.49 |
| 90656 |
|
95 |
94 |
$713.93 |
| 0054A |
|
102 |
100 |
$600.00 |
| 90480 |
|
26 |
26 |
$576.96 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
28 |
$448.18 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
83 |
81 |
$414.37 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
22 |
12 |
$232.56 |
| 99441 |
|
16 |
15 |
$211.20 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$85.64 |
| 81003 |
|
15 |
13 |
$18.54 |
| 3074F |
|
2,427 |
2,279 |
$0.00 |
| 91306 |
|
192 |
191 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
514 |
496 |
$0.00 |
| 1036F |
|
943 |
937 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
135 |
135 |
$0.00 |
| 91303 |
|
34 |
32 |
$0.00 |
| 3075F |
|
144 |
137 |
$0.00 |
| 91307 |
|
83 |
82 |
$0.00 |
| 91301 |
|
598 |
546 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
15 |
15 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |
| 91305 |
|
17 |
17 |
$0.00 |
| 3078F |
|
3,447 |
3,201 |
$0.00 |
| 91312 |
|
171 |
169 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
28 |
28 |
$0.00 |
| 3077F |
|
38 |
38 |
$0.00 |
| 90662 |
|
12 |
12 |
$0.00 |