| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
47,945 |
37,343 |
$6.30M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49,955 |
36,956 |
$4.14M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,668 |
7,505 |
$360K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,660 |
2,353 |
$253K |
| 96156 |
|
4,621 |
4,513 |
$227K |
| G9012 |
Other specified case management service not elsewhere classified |
340 |
339 |
$208K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,052 |
946 |
$143K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
691 |
502 |
$54K |
| 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 |
1,632 |
1,290 |
$47K |
| 99386 |
|
331 |
254 |
$33K |
| 0002A |
|
664 |
373 |
$33K |
| 0001A |
|
677 |
383 |
$29K |
| 99385 |
|
348 |
251 |
$29K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
513 |
338 |
$27K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,419 |
929 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,371 |
1,309 |
$26K |
| 99000 |
|
3,364 |
3,248 |
$25K |
| 96151 |
|
416 |
412 |
$23K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,171 |
2,094 |
$22K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
654 |
642 |
$22K |
| 0003A |
|
344 |
190 |
$18K |
| 96150 |
|
301 |
300 |
$17K |
| 93000 |
|
544 |
516 |
$13K |
| 0012A |
|
277 |
158 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
370 |
345 |
$12K |
| G9920 |
Screening performed and negative |
1,658 |
1,634 |
$12K |
| 96127 |
|
2,074 |
2,037 |
$11K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
409 |
374 |
$10K |
| 0011A |
|
260 |
147 |
$10K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
783 |
778 |
$9K |
| 92229 |
|
93 |
88 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
327 |
272 |
$8K |
| 90688 |
|
618 |
600 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
225 |
161 |
$7K |
| 92551 |
|
1,000 |
980 |
$6K |
| 0124A |
|
91 |
88 |
$6K |
| 90715 |
|
253 |
251 |
$5K |
| 0013A |
|
100 |
56 |
$5K |
| 87428 |
|
126 |
123 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
121 |
118 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
246 |
218 |
$4K |
| 81003 |
|
1,839 |
1,604 |
$3K |
| 99215 |
Prolong outpt/office vis |
63 |
44 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
318 |
231 |
$3K |
| 90756 |
|
114 |
113 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,342 |
1,044 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
107 |
83 |
$3K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
314 |
307 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
34 |
$2K |
| 0071A |
|
43 |
22 |
$2K |
| 99406 |
|
184 |
164 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
303 |
298 |
$2K |
| 90744 |
|
62 |
62 |
$2K |
| 85018 |
|
872 |
864 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
33 |
33 |
$1K |
| 99401 |
|
78 |
76 |
$1K |
| 0072A |
|
18 |
12 |
$1K |
| 90686 |
|
128 |
128 |
$898.98 |
| 99173 |
|
598 |
572 |
$897.62 |
| 90461 |
|
176 |
105 |
$882.00 |
| 92552 |
|
63 |
63 |
$808.05 |
| 92015 |
Determination of refractive state |
1,303 |
1,026 |
$687.34 |
| 90687 |
|
49 |
49 |
$625.80 |
| 90791 |
Psychiatric diagnostic evaluation |
47 |
44 |
$512.32 |
| 82947 |
|
144 |
128 |
$378.23 |
| 99188 |
|
12 |
12 |
$352.00 |
| 81025 |
|
206 |
205 |
$346.20 |
| 81000 |
|
48 |
42 |
$288.88 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
810 |
725 |
$200.00 |
| 99384 |
|
35 |
20 |
$150.64 |
| 86780 |
|
16 |
16 |
$129.06 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
640 |
574 |
$114.00 |
| 87400 |
|
26 |
15 |
$110.34 |
| 69209 |
|
12 |
12 |
$75.16 |
| 85999 |
|
17 |
17 |
$51.17 |
| 90716 |
|
17 |
17 |
$45.00 |
| 88142 |
|
13 |
13 |
$12.96 |
| 90633 |
|
18 |
18 |
$9.00 |
| 3008F |
|
6,150 |
4,839 |
$0.46 |
| 3074F |
|
11,875 |
10,060 |
$0.17 |
| 3078F |
|
10,627 |
9,098 |
$0.14 |
| 3075F |
|
2,845 |
2,617 |
$0.12 |
| 3079F |
|
5,228 |
4,645 |
$0.11 |
| 3077F |
|
2,600 |
2,303 |
$0.06 |
| 3080F |
|
1,363 |
1,224 |
$0.06 |
| 1034F |
|
42 |
35 |
$0.03 |
| 4004F |
|
41 |
34 |
$0.02 |
| 3046F |
|
13 |
12 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
40 |
29 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
5,428 |
4,664 |
$0.00 |
| 1160F |
|
76 |
76 |
$0.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
336 |
336 |
$0.00 |
| V2020 |
Frames, purchases |
556 |
556 |
$0.00 |
| 92341 |
|
128 |
128 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
38 |
38 |
$0.00 |
| 1158F |
|
76 |
76 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
28 |
27 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
29 |
29 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
443 |
394 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
20 |
18 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 81002 |
|
40 |
26 |
$0.00 |
| A4267 |
Contraceptive supply, condom, male, each |
18 |
17 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
29 |
27 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
4,866 |
4,251 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
628 |
568 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
59 |
53 |
$0.00 |
| Z1034 |
|
522 |
296 |
$0.00 |
| 86580 |
|
14 |
13 |
$0.00 |
| 3044F |
|
62 |
51 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
35 |
34 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
46 |
46 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
31 |
27 |
$0.00 |
| 3017F |
|
14 |
12 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
12 |
12 |
$0.00 |
| 99441 |
|
36 |
29 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |