| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
31,750 |
23,107 |
$7.87M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,456 |
11,142 |
$297K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,456 |
6,719 |
$254K |
| T1027 |
Family training and counseling for child development, per 15 minutes |
11,771 |
8,584 |
$212K |
| T1002 |
Rn services, up to 15 minutes |
2,325 |
2,058 |
$101K |
| 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 |
6,642 |
5,319 |
$93K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,087 |
1,083 |
$54K |
| T1017 |
Targeted case management, each 15 minutes |
2,015 |
1,629 |
$41K |
| S9470 |
Nutritional counseling, dietitian visit |
1,247 |
1,220 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,255 |
944 |
$31K |
| S9482 |
Family stabilization services, per 15 minutes |
798 |
575 |
$26K |
| 90834 |
Psychotherapy, 45 minutes with patient |
490 |
389 |
$25K |
| 92015 |
Determination of refractive state |
2,823 |
2,813 |
$21K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
385 |
385 |
$21K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
600 |
369 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
381 |
341 |
$19K |
| 87428 |
|
430 |
430 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
364 |
364 |
$14K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
293 |
293 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,175 |
1,162 |
$10K |
| 59426 |
|
12 |
12 |
$10K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
717 |
701 |
$10K |
| 99215 |
Prolong outpt/office vis |
167 |
164 |
$9K |
| 90832 |
Psychotherapy, 30 minutes with patient |
283 |
213 |
$7K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
135 |
131 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
119 |
118 |
$6K |
| 59025 |
Fetal non-stress test |
117 |
65 |
$5K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
327 |
286 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
111 |
105 |
$4K |
| 90686 |
|
262 |
260 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
340 |
329 |
$3K |
| 90656 |
|
642 |
640 |
$3K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
49 |
44 |
$3K |
| 96112 |
|
32 |
31 |
$2K |
| S9436 |
Childbirth preparation/lamaze classes, non-physician provider, per session |
27 |
26 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
14 |
14 |
$998.73 |
| 90671 |
|
126 |
126 |
$851.52 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
57 |
57 |
$485.19 |
| 71046 |
Radiologic examination, chest; 2 views |
29 |
29 |
$419.16 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
33 |
31 |
$376.46 |
| 0002A |
|
13 |
12 |
$360.00 |
| D1206 |
Topical application of fluoride varnish |
19 |
19 |
$251.75 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
27 |
$171.19 |
| 90697 |
|
38 |
38 |
$164.30 |
| 90633 |
|
25 |
25 |
$119.76 |
| 90680 |
|
37 |
37 |
$103.96 |
| 90651 |
|
24 |
24 |
$58.07 |
| 0502F |
|
1,229 |
833 |
$0.00 |
| 91300 |
|
35 |
28 |
$0.00 |
| D0190 |
|
15 |
14 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
31 |
29 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
30 |
29 |
$0.00 |
| 96127 |
|
125 |
122 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
90 |
90 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
25 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
12 |
12 |
$0.00 |
| 99441 |
|
13 |
13 |
$0.00 |