| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,718 |
5,417 |
$168K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,373 |
2,876 |
$149K |
| T1015 |
Clinic visit/encounter, all-inclusive |
882 |
457 |
$22K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
429 |
189 |
$21K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
145 |
117 |
$11K |
| H2000 |
Comprehensive multidisciplinary evaluation |
38 |
26 |
$5K |
| H0032 |
Mental health service plan development by non-physician |
68 |
50 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
34 |
24 |
$3K |
| 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 |
336 |
254 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$2K |
| 99385 |
|
26 |
25 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
87 |
73 |
$2K |
| H0031 |
Mental health assessment, by non-physician |
87 |
70 |
$1K |
| 91301 |
|
120 |
108 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
15 |
$1K |
| H0001 |
Alcohol and/or drug assessment |
91 |
68 |
$961.76 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
123 |
119 |
$865.50 |
| 0011A |
|
56 |
49 |
$822.13 |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
140 |
97 |
$675.77 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$632.79 |
| H1000 |
Prenatal care, at-risk assessment |
17 |
12 |
$631.96 |
| 3074F |
|
1,753 |
1,391 |
$604.55 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
201 |
199 |
$525.07 |
| 0013A |
|
13 |
13 |
$480.00 |
| 0031A |
|
12 |
12 |
$280.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
134 |
122 |
$240.21 |
| 0012A |
|
28 |
24 |
$216.78 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
34 |
24 |
$152.00 |
| 36415 |
Collection of venous blood by venipuncture |
179 |
170 |
$70.00 |
| 3075F |
|
170 |
119 |
$50.00 |
| 3078F |
|
1,177 |
923 |
$27.28 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
19 |
18 |
$0.19 |
| 3008F |
|
7,289 |
5,311 |
$0.05 |
| 1000F |
|
5,609 |
3,697 |
$0.01 |
| 1160F |
|
149 |
142 |
$0.00 |
| 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 |
13 |
13 |
$0.00 |
| 4004F |
|
432 |
320 |
$0.00 |
| 3293F |
|
26 |
26 |
$0.00 |
| 3511F |
|
70 |
62 |
$0.00 |
| 3725F |
|
44 |
43 |
$0.00 |
| 4019F |
|
33 |
31 |
$0.00 |
| 3077F |
|
67 |
52 |
$0.00 |
| 4185F |
|
15 |
15 |
$0.00 |
| 3351F |
|
5,120 |
3,566 |
$0.00 |
| 3266F |
|
35 |
35 |
$0.00 |
| 1036F |
|
2,249 |
1,718 |
$0.00 |
| 3079F |
|
519 |
375 |
$0.00 |
| 0513F |
|
700 |
512 |
$0.00 |
| 3044F |
|
64 |
62 |
$0.00 |
| 96127 |
|
129 |
122 |
$0.00 |
| 4010F |
|
102 |
82 |
$0.00 |
| 3352F |
|
259 |
219 |
$0.00 |
| 2001F |
|
139 |
127 |
$0.00 |
| 4293F |
|
75 |
71 |
$0.00 |
| 1034F |
|
274 |
179 |
$0.00 |
| 4450F |
|
109 |
103 |
$0.00 |
| 2000F |
|
81 |
77 |
$0.00 |
| 3080F |
|
51 |
46 |
$0.00 |
| 3512F |
|
14 |
14 |
$0.00 |
| 1031F |
|
14 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |
| 3292F |
|
35 |
35 |
$0.00 |
| 3353F |
|
21 |
21 |
$0.00 |
| 3011F |
|
40 |
40 |
$0.00 |
| 3265F |
|
17 |
17 |
$0.00 |
| 1130F |
|
12 |
12 |
$0.00 |