| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
60,230 |
54,670 |
$10.21M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33,524 |
22,239 |
$83K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,938 |
20,503 |
$50K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,198 |
1,616 |
$26K |
| 90791 |
Psychiatric diagnostic evaluation |
1,207 |
823 |
$23K |
| 90715 |
|
896 |
656 |
$23K |
| 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 |
6,406 |
5,767 |
$18K |
| 99215 |
Prolong outpt/office vis |
944 |
535 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,683 |
4,561 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,838 |
2,281 |
$6K |
| 90756 |
|
493 |
346 |
$5K |
| 90674 |
|
498 |
362 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,020 |
759 |
$5K |
| 90686 |
|
815 |
505 |
$4K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
8,800 |
8,279 |
$4K |
| 90746 |
|
51 |
39 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
336 |
200 |
$2K |
| 98927 |
|
62 |
42 |
$1K |
| 0012A |
|
32 |
32 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
210 |
124 |
$1K |
| 0011A |
|
38 |
38 |
$995.74 |
| 90670 |
|
174 |
96 |
$747.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
448 |
282 |
$671.45 |
| 90698 |
|
120 |
64 |
$531.00 |
| 90633 |
|
117 |
66 |
$486.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
143 |
76 |
$430.20 |
| 99205 |
Prolong outpt/office vis |
30 |
20 |
$423.40 |
| 90661 |
|
37 |
30 |
$374.50 |
| 90744 |
|
78 |
43 |
$342.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
25 |
24 |
$295.20 |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
33 |
25 |
$242.22 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
167 |
88 |
$231.80 |
| 86580 |
|
479 |
455 |
$218.40 |
| 90651 |
|
49 |
27 |
$216.00 |
| 90710 |
|
43 |
25 |
$198.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
658 |
443 |
$147.48 |
| 90734 |
|
26 |
15 |
$117.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
121 |
62 |
$108.74 |
| 90681 |
|
25 |
13 |
$108.00 |
| 90700 |
|
25 |
13 |
$108.00 |
| 83655 |
|
21 |
21 |
$105.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
107 |
106 |
$79.22 |
| 92551 |
|
246 |
132 |
$56.10 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
25 |
24 |
$16.40 |
| 88164 |
|
26 |
26 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
53 |
25 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
54 |
27 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
420 |
419 |
$0.00 |
| 82962 |
|
37 |
37 |
$0.00 |
| 90688 |
|
80 |
80 |
$0.00 |
| 88142 |
|
41 |
41 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
45 |
45 |
$0.00 |