| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
342,188 |
196,280 |
$57.67M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
173,237 |
147,543 |
$30.08M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24,369 |
20,702 |
$4.01M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12,540 |
11,142 |
$2.29M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12,143 |
11,128 |
$2.24M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
10,188 |
9,385 |
$1.88M |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
10,337 |
9,129 |
$1.80M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
6,549 |
5,662 |
$1.14M |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
9,350 |
8,034 |
$1.13M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,067 |
5,436 |
$1.13M |
| 3074F |
|
135,167 |
112,343 |
$998K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,475 |
4,955 |
$930K |
| 3078F |
|
109,319 |
91,611 |
$782K |
| 76818 |
|
5,576 |
2,147 |
$578K |
| 76820 |
|
7,130 |
3,050 |
$372K |
| 3079F |
|
51,812 |
42,891 |
$367K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
4,348 |
1,965 |
$329K |
| 76801 |
|
2,991 |
2,491 |
$322K |
| 76813 |
|
2,721 |
2,318 |
$295K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,493 |
1,341 |
$274K |
| 3075F |
|
21,100 |
17,567 |
$154K |
| 99219 |
|
943 |
773 |
$147K |
| 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 |
7,952 |
6,632 |
$142K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,200 |
991 |
$120K |
| 99381 |
|
484 |
444 |
$81K |
| 99234 |
|
431 |
366 |
$75K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,020 |
709 |
$69K |
| 99385 |
|
387 |
375 |
$68K |
| 59025 |
Fetal non-stress test |
1,506 |
1,187 |
$61K |
| 3077F |
|
8,854 |
7,152 |
$58K |
| 59410 |
|
57 |
37 |
$58K |
| 1036F |
|
39,232 |
34,313 |
$43K |
| 3080F |
|
6,331 |
5,101 |
$41K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
449 |
250 |
$34K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
199 |
182 |
$33K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,736 |
1,377 |
$32K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,866 |
2,507 |
$30K |
| 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 |
2,367 |
1,703 |
$29K |
| 3008F |
|
160,098 |
133,086 |
$24K |
| 90715 |
|
660 |
541 |
$21K |
| 3044F |
|
2,221 |
1,936 |
$19K |
| 0012A |
|
659 |
616 |
$17K |
| 0500F |
|
475 |
349 |
$16K |
| 0011A |
|
833 |
642 |
$13K |
| 0503F |
|
298 |
279 |
$13K |
| 99235 |
|
65 |
60 |
$11K |
| 99386 |
|
60 |
58 |
$11K |
| 90677 |
|
73 |
30 |
$10K |
| 99496 |
|
30 |
26 |
$6K |
| 0064A |
|
141 |
132 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$5K |
| 1159F |
|
50,964 |
45,704 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,377 |
998 |
$4K |
| 99215 |
Prolong outpt/office vis |
22 |
14 |
$3K |
| 0071A |
|
110 |
86 |
$3K |
| 0072A |
|
86 |
86 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
17 |
12 |
$3K |
| 99218 |
|
25 |
13 |
$3K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
56 |
44 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
561 |
482 |
$2K |
| 76821 |
|
21 |
13 |
$2K |
| Q3014 |
Telehealth originating site facility fee |
59 |
56 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
258 |
179 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,011 |
897 |
$1K |
| 3046F |
|
121 |
94 |
$940.00 |
| 0051A |
|
20 |
20 |
$910.06 |
| 3051F |
|
48 |
43 |
$583.06 |
| 0052A |
|
15 |
15 |
$560.00 |
| 1034F |
|
2,271 |
1,968 |
$376.21 |
| 90686 |
|
3,445 |
3,301 |
$304.67 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,852 |
1,708 |
$293.47 |
| 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 |
188 |
188 |
$226.18 |
| 3725F |
|
79,849 |
65,470 |
$190.12 |
| 1035F |
|
166 |
151 |
$190.06 |
| 82962 |
|
360 |
342 |
$184.73 |
| 3052F |
|
22 |
17 |
$170.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,883 |
1,665 |
$149.57 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
40 |
38 |
$107.15 |
| 93000 |
|
92 |
86 |
$85.75 |
| 36415 |
Collection of venous blood by venipuncture |
1,702 |
1,558 |
$40.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
151 |
140 |
$35.27 |
| 3014F |
|
84 |
80 |
$30.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14,041 |
5,991 |
$23.28 |
| 81002 |
|
727 |
688 |
$21.04 |
| 90656 |
|
72 |
71 |
$19.78 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$17.82 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
14 |
14 |
$0.23 |
| 91301 |
|
1,370 |
1,196 |
$0.01 |
| 99000 |
|
3,460 |
3,325 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,991 |
2,510 |
$0.00 |
| 91305 |
|
41 |
39 |
$0.00 |
| 90651 |
|
240 |
235 |
$0.00 |
| 92551 |
|
5,177 |
4,927 |
$0.00 |
| 96161 |
|
223 |
216 |
$0.00 |
| 86580 |
|
66 |
38 |
$0.00 |
| 90723 |
|
645 |
629 |
$0.00 |
| 91307 |
|
190 |
159 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
28 |
28 |
$0.00 |
| G0647 |
|
26 |
26 |
$0.00 |
| 90620 |
|
13 |
13 |
$0.00 |
| 1111F |
|
26 |
12 |
$0.00 |
| 90696 |
|
26 |
26 |
$0.00 |
| 90688 |
|
30 |
30 |
$0.00 |
| 90734 |
|
124 |
122 |
$0.00 |
| 90461 |
|
3,326 |
2,752 |
$0.00 |
| 99173 |
|
5,422 |
5,164 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
637 |
441 |
$0.00 |
| 90687 |
|
39 |
39 |
$0.00 |
| 90648 |
|
1,170 |
1,136 |
$0.00 |
| 90633 |
|
377 |
366 |
$0.00 |
| 83037 |
|
91 |
81 |
$0.00 |
| 90710 |
|
26 |
26 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
377 |
365 |
$0.00 |
| H1000 |
Prenatal care, at-risk assessment |
386 |
293 |
$0.00 |
| 90685 |
|
28 |
27 |
$0.00 |
| 90670 |
|
1,187 |
1,155 |
$0.00 |
| 90681 |
|
181 |
178 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
89 |
89 |
$0.00 |
| 90662 |
|
15 |
15 |
$0.00 |
| 81025 |
|
13 |
13 |
$0.00 |