| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
135,302 |
123,888 |
$30.84M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44,292 |
40,130 |
$303K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,947 |
4,622 |
$270K |
| 90750 |
|
1,411 |
1,187 |
$233K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,144 |
20,949 |
$214K |
| 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 |
4,252 |
3,696 |
$157K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,132 |
2,730 |
$96K |
| 90677 |
|
1,322 |
866 |
$85K |
| 0012A |
|
1,314 |
729 |
$68K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,073 |
534 |
$58K |
| 0011A |
|
1,159 |
664 |
$56K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20,655 |
18,400 |
$38K |
| 91322 |
|
258 |
245 |
$38K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,306 |
1,235 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,327 |
2,929 |
$22K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
591 |
332 |
$22K |
| 0064A |
|
340 |
200 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
11,367 |
11,128 |
$17K |
| 0031A |
|
302 |
169 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,098 |
2,059 |
$14K |
| 90686 |
|
2,902 |
2,847 |
$14K |
| 97803 |
|
431 |
351 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
987 |
980 |
$13K |
| 0134A |
|
158 |
158 |
$10K |
| 97804 |
|
218 |
169 |
$10K |
| 99243 |
|
85 |
56 |
$9K |
| 59425 |
|
147 |
109 |
$9K |
| 90480 |
|
204 |
203 |
$7K |
| 96156 |
|
596 |
596 |
$7K |
| 97802 |
|
92 |
81 |
$6K |
| 92015 |
Determination of refractive state |
922 |
614 |
$6K |
| 99401 |
|
376 |
373 |
$5K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
32 |
20 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
471 |
469 |
$4K |
| 90688 |
|
1,071 |
1,036 |
$4K |
| 0071A |
|
68 |
36 |
$4K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
339 |
323 |
$3K |
| 90715 |
|
695 |
673 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
29 |
28 |
$3K |
| 90697 |
|
683 |
455 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
125 |
65 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
313 |
153 |
$2K |
| 0013A |
|
46 |
26 |
$2K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
136 |
117 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
393 |
379 |
$2K |
| 92551 |
|
2,208 |
2,164 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
78 |
71 |
$1K |
| 11721 |
|
206 |
200 |
$1K |
| 92133 |
|
39 |
29 |
$908.84 |
| 90832 |
Psychotherapy, 30 minutes with patient |
14 |
13 |
$865.73 |
| 90723 |
|
784 |
702 |
$860.00 |
| 90647 |
|
724 |
648 |
$790.00 |
| 90681 |
|
280 |
234 |
$570.00 |
| 98960 |
|
15 |
13 |
$557.24 |
| 90670 |
|
565 |
514 |
$540.00 |
| 92083 |
|
18 |
13 |
$444.71 |
| 91319 |
|
15 |
15 |
$374.00 |
| 90746 |
|
74 |
74 |
$372.38 |
| 99078 |
|
26 |
26 |
$365.30 |
| 90619 |
|
38 |
38 |
$340.00 |
| 90680 |
|
277 |
242 |
$320.00 |
| 99173 |
|
1,823 |
1,737 |
$306.80 |
| 99188 |
|
25 |
16 |
$292.50 |
| 98962 |
|
19 |
19 |
$224.77 |
| 91318 |
|
16 |
16 |
$160.00 |
| 90732 |
|
37 |
36 |
$148.34 |
| 99215 |
Prolong outpt/office vis |
80 |
79 |
$143.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
26 |
13 |
$139.10 |
| 99205 |
Prolong outpt/office vis |
13 |
12 |
$124.05 |
| 90655 |
|
31 |
20 |
$100.00 |
| 81002 |
|
61 |
51 |
$90.77 |
| 90633 |
|
535 |
522 |
$90.00 |
| G0008 |
Administration of influenza virus vaccine |
140 |
133 |
$67.26 |
| 88720 |
|
78 |
71 |
$47.30 |
| 90707 |
|
40 |
40 |
$20.00 |
| 81025 |
|
68 |
62 |
$11.93 |
| 90656 |
|
48 |
45 |
$10.00 |
| 90756 |
|
14 |
14 |
$0.14 |
| 90714 |
|
18 |
18 |
$0.03 |
| Z1038 |
|
103 |
96 |
$0.00 |
| Z1034 |
|
3,651 |
3,022 |
$0.00 |
| Z1032 |
|
269 |
264 |
$0.00 |
| Z6402 |
|
69 |
69 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$0.00 |
| 90651 |
|
125 |
123 |
$0.00 |
| Z6406 |
|
127 |
127 |
$0.00 |
| 99441 |
|
15 |
14 |
$0.00 |
| 90474 |
|
73 |
73 |
$0.00 |
| Z6204 |
|
181 |
167 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
433 |
58 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| Z6410 |
|
15 |
13 |
$0.00 |
| 99442 |
|
1,098 |
781 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
85 |
81 |
$0.00 |
| G9920 |
Screening performed and negative |
13 |
13 |
$0.00 |
| Z6400 |
|
81 |
81 |
$0.00 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
62 |
61 |
$0.00 |
| Z6300 |
|
69 |
69 |
$0.00 |
| Z6200 |
|
69 |
69 |
$0.00 |
| Z6408 |
|
29 |
29 |
$0.00 |
| Z6412 |
|
75 |
75 |
$0.00 |
| Z6414 |
|
19 |
15 |
$0.00 |
| Z6304 |
|
102 |
102 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$0.00 |
| 90734 |
|
37 |
37 |
$0.00 |