| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
59,192 |
51,127 |
$8.24M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
53,190 |
35,439 |
$990K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,925 |
10,678 |
$338K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,976 |
1,972 |
$113K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,932 |
5,162 |
$105K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,305 |
2,265 |
$104K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,327 |
6,940 |
$88K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,990 |
1,275 |
$87K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,659 |
1,896 |
$75K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,706 |
1,300 |
$71K |
| 92551 |
|
8,596 |
6,349 |
$69K |
| 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 |
2,003 |
1,768 |
$67K |
| 97803 |
|
3,986 |
3,358 |
$36K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,026 |
1,018 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,824 |
2,961 |
$21K |
| 99173 |
|
8,573 |
6,290 |
$20K |
| 81003 |
|
12,459 |
9,142 |
$18K |
| 93000 |
|
885 |
620 |
$16K |
| 90686 |
|
2,784 |
2,068 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
291 |
206 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
601 |
458 |
$15K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,342 |
994 |
$14K |
| 90834 |
Psychotherapy, 45 minutes with patient |
350 |
234 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
178 |
102 |
$11K |
| 99384 |
|
175 |
108 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
558 |
374 |
$6K |
| 99383 |
|
150 |
96 |
$6K |
| 90715 |
|
693 |
477 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
269 |
222 |
$5K |
| 81025 |
|
2,221 |
1,558 |
$4K |
| 97802 |
|
655 |
515 |
$4K |
| 90651 |
|
1,047 |
714 |
$4K |
| 96127 |
|
1,200 |
790 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
451 |
325 |
$3K |
| 90688 |
|
420 |
415 |
$3K |
| 90674 |
|
183 |
125 |
$3K |
| 90670 |
|
983 |
732 |
$3K |
| 85018 |
|
852 |
803 |
$2K |
| 90707 |
|
178 |
166 |
$1K |
| 90734 |
|
479 |
372 |
$939.45 |
| 90648 |
|
1,053 |
780 |
$794.62 |
| 86580 |
|
181 |
180 |
$604.16 |
| 90716 |
|
180 |
168 |
$524.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$480.00 |
| 90633 |
|
484 |
369 |
$465.30 |
| 90710 |
|
147 |
95 |
$394.10 |
| A7010 |
Corrugated tubing, disposable, used with large volume nebulizer, 100 feet |
278 |
249 |
$347.90 |
| 90700 |
|
234 |
199 |
$292.40 |
| 90723 |
|
265 |
189 |
$247.50 |
| 90680 |
|
242 |
205 |
$215.32 |
| 90696 |
|
142 |
102 |
$207.90 |
| 90685 |
|
80 |
80 |
$99.00 |
| 81002 |
|
28 |
17 |
$37.92 |
| 90713 |
|
25 |
25 |
$29.70 |
| 90672 |
|
92 |
77 |
$27.22 |
| 36416 |
|
547 |
542 |
$15.60 |
| 3077F |
|
711 |
671 |
$0.00 |
| 3078F |
|
1,259 |
1,195 |
$0.00 |
| 90473 |
|
16 |
16 |
$0.00 |
| 3078 |
|
15 |
15 |
$0.00 |
| 3079 |
|
15 |
14 |
$0.00 |
| 3077 |
|
15 |
14 |
$0.00 |
| 3046F |
|
15 |
15 |
$0.00 |
| 3075F |
|
280 |
267 |
$0.00 |
| 3074F |
|
1,163 |
1,097 |
$0.00 |
| 3079F |
|
911 |
859 |
$0.00 |
| 01 |
Inj., retisert, 0.01 mg |
635 |
254 |
$0.00 |
| 3080F |
|
118 |
111 |
$0.00 |
| 3008F |
|
1,195 |
1,133 |
$0.00 |
| 3074 |
|
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
54 |
54 |
$0.00 |
| 90474 |
|
27 |
27 |
$0.00 |