| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
29,595 |
24,996 |
$4.93M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,264 |
13,548 |
$1.53M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,536 |
3,254 |
$374K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,884 |
1,735 |
$105K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,070 |
1,062 |
$103K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
472 |
460 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
583 |
580 |
$47K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
926 |
896 |
$43K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,400 |
2,159 |
$35K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
285 |
279 |
$27K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,115 |
1,383 |
$22K |
| 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 |
623 |
559 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
189 |
185 |
$19K |
| 90837 |
Psychotherapy, 53 minutes with patient |
198 |
136 |
$17K |
| 87428 |
|
448 |
425 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,211 |
1,153 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
74 |
73 |
$6K |
| 99381 |
|
12 |
12 |
$3K |
| D0999 |
Unspecified diagnostic procedure, by report |
58 |
45 |
$3K |
| CP002 |
|
269 |
237 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
164 |
148 |
$3K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
145 |
144 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
289 |
285 |
$2K |
| 99384 |
|
16 |
16 |
$2K |
| 99383 |
|
16 |
16 |
$1K |
| 90461 |
|
329 |
250 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
182 |
179 |
$1K |
| 99460 |
|
13 |
13 |
$957.88 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
16 |
16 |
$901.60 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
522 |
492 |
$828.50 |
| 80305 |
|
467 |
413 |
$762.43 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
29 |
29 |
$505.70 |
| 87807 |
|
67 |
66 |
$231.00 |
| 90686 |
|
279 |
268 |
$143.66 |
| 81025 |
|
67 |
63 |
$101.22 |
| 81003 |
|
330 |
296 |
$56.73 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
307 |
299 |
$43.18 |
| 90656 |
|
52 |
50 |
$34.94 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
19 |
19 |
$32.64 |
| 87081 |
|
18 |
18 |
$27.85 |
| 81002 |
|
14 |
13 |
$14.60 |
| 92551 |
|
166 |
164 |
$9.54 |
| 90619 |
|
17 |
17 |
$0.11 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
351 |
303 |
$0.03 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
647 |
538 |
$0.02 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
793 |
680 |
$0.01 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
827 |
701 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,182 |
1,105 |
$0.00 |
| 90696 |
|
36 |
36 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
493 |
413 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
254 |
222 |
$0.00 |
| 90677 |
|
47 |
47 |
$0.00 |
| 99406 |
|
264 |
256 |
$0.00 |
| 36416 |
|
106 |
105 |
$0.00 |
| 90723 |
|
69 |
69 |
$0.00 |
| 90651 |
|
48 |
48 |
$0.00 |
| 1036F |
|
22 |
19 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
17 |
13 |
$0.00 |
| D0603 |
|
12 |
12 |
$0.00 |
| 99407 |
|
17 |
17 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
108 |
103 |
$0.00 |
| 99173 |
|
187 |
185 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,026 |
852 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
31 |
30 |
$0.00 |
| 90671 |
|
13 |
13 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
88 |
85 |
$0.00 |
| 90648 |
|
154 |
153 |
$0.00 |
| 90633 |
|
119 |
116 |
$0.00 |
| 90670 |
|
135 |
135 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
645 |
537 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,249 |
1,046 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
19 |
12 |
$0.00 |
| 90682 |
|
16 |
16 |
$0.00 |
| 90710 |
|
111 |
109 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90715 |
|
37 |
37 |
$0.00 |