| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
78,500 |
64,942 |
$9.56M |
| 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 |
2,660 |
2,419 |
$93K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,480 |
12,188 |
$77K |
| 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 |
440 |
405 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,136 |
1,778 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15,506 |
12,540 |
$11K |
| 90791 |
Psychiatric diagnostic evaluation |
2,120 |
1,864 |
$7K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
93 |
51 |
$6K |
| 90832 |
Psychotherapy, 30 minutes with patient |
11,746 |
7,935 |
$3K |
| 0012A |
|
61 |
33 |
$3K |
| 81005 |
|
2,784 |
1,911 |
$3K |
| 99000 |
|
2,358 |
1,971 |
$3K |
| 0011A |
|
93 |
58 |
$2K |
| 0031A |
|
26 |
14 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
44 |
32 |
$652.07 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
19 |
16 |
$537.12 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
71 |
66 |
$500.95 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
22 |
17 |
$323.07 |
| 3074F |
|
79 |
70 |
$149.52 |
| 90834 |
Psychotherapy, 45 minutes with patient |
556 |
386 |
$134.32 |
| 97026 |
|
354 |
258 |
$118.08 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
13 |
$68.64 |
| 81003 |
|
130 |
103 |
$13.76 |
| 81025 |
|
76 |
70 |
$11.76 |
| Z6410 |
|
748 |
736 |
$0.00 |
| Z1038 |
|
40 |
40 |
$0.00 |
| Z1034 |
|
4,159 |
2,668 |
$0.00 |
| 97814 |
|
344 |
252 |
$0.00 |
| 90686 |
|
149 |
134 |
$0.00 |
| Z1032 |
|
322 |
322 |
$0.00 |
| 1036F |
|
162 |
143 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
47 |
47 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
457 |
398 |
$0.00 |
| 2001F |
|
242 |
214 |
$0.00 |
| 3008F |
|
242 |
214 |
$0.00 |
| 3079F |
|
26 |
23 |
$0.00 |
| 92551 |
|
16 |
14 |
$0.00 |
| 85018 |
|
50 |
41 |
$0.00 |
| 1111F |
|
20 |
17 |
$0.00 |
| 97810 |
|
58 |
43 |
$0.00 |
| Z6400 |
|
470 |
468 |
$0.00 |
| 97813 |
|
348 |
255 |
$0.00 |
| 90715 |
|
25 |
25 |
$0.00 |
| 97811 |
|
53 |
40 |
$0.00 |
| 99173 |
|
15 |
13 |
$0.00 |
| 3078F |
|
62 |
56 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
28 |
28 |
$0.00 |