| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,071 |
3,800 |
$590K |
| T1015 |
Clinic visit/encounter, all-inclusive |
2,543 |
2,185 |
$165K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
846 |
808 |
$118K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
255 |
246 |
$38K |
| 90832 |
Psychotherapy, 30 minutes with patient |
73 |
67 |
$20K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,708 |
1,648 |
$6K |
| 90791 |
Psychiatric diagnostic evaluation |
14 |
14 |
$4K |
| 82947 |
|
1,612 |
1,512 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 99406 |
|
102 |
96 |
$784.35 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
122 |
80 |
$504.09 |
| 82962 |
|
122 |
118 |
$105.96 |
| 1160F |
|
86 |
83 |
$39.74 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$13.21 |
| 81003 |
|
12 |
12 |
$5.36 |
| 1159F |
|
407 |
373 |
$0.00 |
| 3078F |
|
159 |
154 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
12 |
12 |
$0.00 |
| 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 |
54 |
45 |
$0.00 |
| 1126F |
|
114 |
111 |
$0.00 |
| 3074F |
|
224 |
209 |
$0.00 |
| 1125F |
|
56 |
52 |
$0.00 |
| 3008F |
|
212 |
190 |
$0.00 |
| 3079F |
|
74 |
71 |
$0.00 |
| 3044F |
|
41 |
40 |
$0.00 |
| 1036F |
|
27 |
27 |
$0.00 |