| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
30,134 |
24,403 |
$5.04M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,785 |
10,154 |
$109K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,592 |
5,080 |
$76K |
| 90837 |
Psychotherapy, 53 minutes with patient |
6,707 |
3,879 |
$53K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,678 |
883 |
$41K |
| 97802 |
|
4,827 |
3,730 |
$30K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
513 |
367 |
$29K |
| 90791 |
Psychiatric diagnostic evaluation |
915 |
807 |
$20K |
| 99385 |
|
254 |
168 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
186 |
111 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
354 |
254 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
372 |
274 |
$5K |
| 90686 |
|
412 |
325 |
$5K |
| 96127 |
|
1,914 |
1,216 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
283 |
160 |
$4K |
| 99386 |
|
48 |
33 |
$4K |
| 80061 |
Lipid panel |
1,129 |
831 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,633 |
1,225 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
336 |
249 |
$2K |
| 80053 |
Comprehensive metabolic panel |
1,152 |
849 |
$2K |
| 93000 |
|
103 |
63 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,073 |
782 |
$1K |
| 90715 |
|
42 |
30 |
$1K |
| 86803 |
|
439 |
285 |
$721.76 |
| 86780 |
|
367 |
241 |
$711.58 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
546 |
432 |
$670.35 |
| 92552 |
|
286 |
193 |
$564.70 |
| 86701 |
|
103 |
69 |
$489.80 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
202 |
160 |
$345.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
414 |
282 |
$340.15 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
414 |
282 |
$337.80 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
47 |
33 |
$211.50 |
| 99215 |
Prolong outpt/office vis |
32 |
27 |
$171.60 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
14 |
$115.85 |
| 86592 |
|
105 |
71 |
$112.38 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
23 |
18 |
$93.57 |
| 88150 |
|
148 |
94 |
$69.00 |
| 82274 |
|
18 |
12 |
$56.56 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
12 |
$50.68 |
| 82043 |
|
18 |
12 |
$22.95 |
| 82947 |
|
17 |
12 |
$16.50 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
154 |
149 |
$14.30 |
| 90651 |
|
22 |
12 |
$9.00 |
| 85018 |
|
27 |
27 |
$2.07 |
| 3008F |
|
4,066 |
3,253 |
$0.00 |
| 88738 |
|
381 |
323 |
$0.00 |
| 3079F |
|
249 |
168 |
$0.00 |
| 3074F |
|
777 |
516 |
$0.00 |
| 90688 |
|
18 |
18 |
$0.00 |
| 36416 |
|
403 |
345 |
$0.00 |
| 84378 |
|
86 |
67 |
$0.00 |
| 3075F |
|
102 |
67 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
64 |
47 |
$0.00 |
| 99422 |
|
28 |
26 |
$0.00 |
| 81001 |
|
21 |
12 |
$0.00 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
13 |
13 |
$0.00 |
| 99401 |
|
557 |
488 |
$0.00 |
| 99173 |
|
237 |
189 |
$0.00 |
| 99408 |
|
1,552 |
1,006 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
149 |
125 |
$0.00 |
| 3077F |
|
78 |
53 |
$0.00 |
| 3078F |
|
684 |
459 |
$0.00 |
| 3015F |
|
94 |
62 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
23 |
13 |
$0.00 |
| 90461 |
|
38 |
26 |
$0.00 |
| 81025 |
|
13 |
12 |
$0.00 |
| 97811 |
|
21 |
16 |
$0.00 |
| 97810 |
|
21 |
16 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
17 |
13 |
$0.00 |