| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
93,962 |
74,727 |
$14.56M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,366 |
29,622 |
$30K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
814 |
672 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42,009 |
38,316 |
$8K |
| 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 |
454 |
425 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,197 |
6,374 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
763 |
634 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
220 |
186 |
$2K |
| 0011A |
|
60 |
42 |
$1K |
| 0012A |
|
65 |
51 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,832 |
1,558 |
$1K |
| 99385 |
|
280 |
228 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
14,320 |
6,744 |
$864.37 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
45 |
43 |
$506.61 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
720 |
567 |
$375.00 |
| 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 |
12 |
12 |
$171.49 |
| 90686 |
|
230 |
206 |
$156.38 |
| 90791 |
Psychiatric diagnostic evaluation |
741 |
731 |
$126.80 |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,677 |
2,188 |
$104.68 |
| 3008F |
|
235 |
227 |
$60.00 |
| 3079F |
|
175 |
170 |
$40.00 |
| 90688 |
|
18 |
14 |
$29.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
341 |
270 |
$22.74 |
| 3078F |
|
224 |
220 |
$20.00 |
| 3074F |
|
124 |
118 |
$20.00 |
| G0008 |
Administration of influenza virus vaccine |
22 |
17 |
$10.50 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
572 |
479 |
$0.48 |
| 3077F |
|
352 |
340 |
$0.00 |
| 99397 |
|
13 |
13 |
$0.00 |
| 1158F |
|
23 |
19 |
$0.00 |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
50 |
37 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
38 |
38 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
18 |
13 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
156 |
149 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
161 |
150 |
$0.00 |
| 1123F |
|
23 |
19 |
$0.00 |
| 1111F |
|
39 |
34 |
$0.00 |
| 1126F |
|
19 |
16 |
$0.00 |
| 3080F |
|
92 |
84 |
$0.00 |
| G9012 |
Other specified case management service not elsewhere classified |
78 |
75 |
$0.00 |
| 1170F |
|
42 |
36 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
38 |
38 |
$0.00 |
| 3075F |
|
13 |
12 |
$0.00 |
| 91301 |
|
39 |
36 |
$0.00 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
53 |
37 |
$0.00 |
| G0102 |
Prostate cancer screening; digital rectal examination |
23 |
19 |
$0.00 |
| 93000 |
|
13 |
12 |
$0.00 |