| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
42,094 |
35,905 |
$2.34M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
50,562 |
30,184 |
$1.09M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,178 |
10,114 |
$512K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,087 |
2,483 |
$73K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,187 |
721 |
$41K |
| 90791 |
Psychiatric diagnostic evaluation |
850 |
386 |
$40K |
| 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 |
2,663 |
2,311 |
$39K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,421 |
735 |
$34K |
| 90686 |
|
2,868 |
1,937 |
$24K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
791 |
485 |
$21K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
189 |
181 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,804 |
1,238 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
680 |
474 |
$18K |
| 90834 |
Psychotherapy, 45 minutes with patient |
838 |
416 |
$18K |
| 87428 |
|
981 |
518 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
595 |
378 |
$17K |
| 0011A |
|
151 |
143 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
419 |
273 |
$5K |
| 0012A |
|
127 |
126 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
246 |
137 |
$4K |
| 0071A |
|
105 |
105 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
233 |
161 |
$4K |
| 0064A |
|
97 |
95 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
502 |
289 |
$3K |
| 0072A |
|
58 |
58 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
45 |
24 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
117 |
103 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
68 |
48 |
$1K |
| 99243 |
|
52 |
24 |
$1K |
| 96127 |
|
529 |
306 |
$1K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
51 |
39 |
$1K |
| 90656 |
|
64 |
64 |
$990.00 |
| 90670 |
|
240 |
200 |
$879.64 |
| 0002A |
|
12 |
12 |
$461.46 |
| 0124A |
|
25 |
18 |
$453.52 |
| 0001A |
|
12 |
12 |
$419.68 |
| 90715 |
|
18 |
13 |
$361.49 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
54 |
15 |
$359.88 |
| 92551 |
|
82 |
58 |
$277.31 |
| 90785 |
|
48 |
17 |
$167.00 |
| 99173 |
|
122 |
71 |
$154.93 |
| 81002 |
|
196 |
179 |
$62.71 |
| 81003 |
|
39 |
28 |
$40.04 |
| 91312 |
|
25 |
18 |
$0.10 |
| 91301 |
|
19 |
18 |
$0.09 |
| 4004F |
|
23,525 |
14,182 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
3,931 |
2,603 |
$0.00 |
| 1160F |
|
17,436 |
9,605 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
8,711 |
4,833 |
$0.00 |
| 1159F |
|
17,434 |
9,606 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
22,490 |
21,083 |
$0.00 |
| 3078F |
|
11,092 |
6,224 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
2,244 |
1,465 |
$0.00 |
| G8506 |
Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy |
4,196 |
2,765 |
$0.00 |
| 3015F |
|
2,656 |
1,443 |
$0.00 |
| 3050F |
|
986 |
541 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
32 |
26 |
$0.00 |
| 3077F |
|
382 |
226 |
$0.00 |
| 90685 |
|
59 |
49 |
$0.00 |
| 3008F |
|
6,477 |
3,590 |
$0.00 |
| 1036F |
|
15,343 |
9,140 |
$0.00 |
| 3048F |
|
8,945 |
5,634 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
17,408 |
15,042 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
6,003 |
3,279 |
$0.00 |
| 3079F |
|
4,636 |
2,679 |
$0.00 |
| 3074F |
|
13,965 |
7,894 |
$0.00 |
| 3017F |
|
3,407 |
1,926 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,501 |
1,638 |
$0.00 |
| 1125F |
|
3,123 |
1,880 |
$0.00 |
| 3049F |
|
2,346 |
1,307 |
$0.00 |
| 1126F |
|
1,906 |
1,266 |
$0.00 |
| 3080F |
|
294 |
193 |
$0.00 |
| 4010F |
|
2,255 |
1,271 |
$0.00 |
| 3014F |
|
378 |
237 |
$0.00 |
| 3075F |
|
1,216 |
699 |
$0.00 |
| 99381 |
|
15 |
12 |
$0.00 |
| 3044F |
|
251 |
134 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
137 |
95 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
27 |
26 |
$0.00 |
| 90698 |
|
34 |
25 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
12 |
12 |
$0.00 |