| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
83,309 |
68,439 |
$10.21M |
| 00003 |
Internal/system code - not a standard HCPCS code |
26,602 |
21,169 |
$4.05M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,323 |
24,623 |
$107K |
| 98940 |
|
19,189 |
11,753 |
$55K |
| 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 |
1,075 |
889 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,450 |
3,857 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,889 |
1,723 |
$8K |
| 97802 |
|
93 |
93 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
349 |
296 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
459 |
414 |
$4K |
| 97803 |
|
112 |
112 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
851 |
778 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,485 |
1,403 |
$4K |
| 92551 |
|
2,798 |
2,537 |
$3K |
| 0031A |
|
49 |
25 |
$3K |
| 85018 |
|
4,344 |
3,995 |
$2K |
| 90686 |
|
2,189 |
2,044 |
$1K |
| 99000 |
|
3,176 |
2,895 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,328 |
1,937 |
$1K |
| 99383 |
|
80 |
69 |
$995.36 |
| 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 |
23 |
17 |
$910.57 |
| 90723 |
|
838 |
791 |
$437.39 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
41 |
36 |
$405.11 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
64 |
63 |
$395.00 |
| 90680 |
|
728 |
691 |
$349.58 |
| 99381 |
|
102 |
96 |
$317.33 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,560 |
1,121 |
$198.61 |
| 90700 |
|
440 |
412 |
$197.23 |
| 90734 |
|
160 |
142 |
$153.93 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
641 |
632 |
$153.67 |
| 90633 |
|
792 |
739 |
$130.50 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
33 |
29 |
$123.48 |
| 99173 |
|
2,657 |
2,412 |
$113.04 |
| 90648 |
|
1,092 |
1,045 |
$92.25 |
| 90670 |
|
1,209 |
1,130 |
$74.25 |
| 90647 |
|
372 |
338 |
$49.42 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
25 |
24 |
$45.93 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
361 |
359 |
$32.29 |
| 90651 |
|
203 |
180 |
$27.00 |
| 83655 |
|
352 |
334 |
$20.40 |
| 90710 |
|
562 |
524 |
$9.00 |
| 90713 |
|
57 |
53 |
$4.50 |
| Z6204 |
|
181 |
181 |
$0.00 |
| 2001F |
|
5,235 |
4,691 |
$0.00 |
| 1036F |
|
3,858 |
3,466 |
$0.00 |
| 1111F |
|
2,224 |
2,006 |
$0.00 |
| 3008F |
|
5,235 |
4,691 |
$0.00 |
| 3074F |
|
2,048 |
1,983 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,514 |
2,427 |
$0.00 |
| 3079F |
|
801 |
776 |
$0.00 |
| 90677 |
|
337 |
328 |
$0.00 |
| 3075F |
|
270 |
265 |
$0.00 |
| 3049F |
|
242 |
220 |
$0.00 |
| 3048F |
|
548 |
500 |
$0.00 |
| 81005 |
|
12 |
12 |
$0.00 |
| 90656 |
|
171 |
161 |
$0.00 |
| 86580 |
|
59 |
58 |
$0.00 |
| Z6410 |
|
32 |
32 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
17 |
12 |
$0.00 |
| Z1034 |
|
13 |
13 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
12 |
12 |
$0.00 |
| 90696 |
|
58 |
54 |
$0.00 |
| 90620 |
|
13 |
12 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
2,379 |
2,307 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
188 |
178 |
$0.00 |
| 3078F |
|
1,744 |
1,691 |
$0.00 |
| 90681 |
|
52 |
51 |
$0.00 |
| 99201 |
|
36 |
36 |
$0.00 |
| 3077F |
|
188 |
178 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$0.00 |
| 3050F |
|
125 |
108 |
$0.00 |
| Z6400 |
|
29 |
29 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
42 |
38 |
$0.00 |
| 90715 |
|
22 |
18 |
$0.00 |
| 81025 |
|
13 |
13 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
13 |
$0.00 |