| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
160,332 |
108,414 |
$13.27M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
79,695 |
58,028 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28,788 |
22,320 |
$704.85 |
| 90670 |
|
2,333 |
1,997 |
$602.62 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
16 |
13 |
$474.40 |
| 90677 |
|
332 |
307 |
$424.80 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,540 |
3,090 |
$233.61 |
| 90723 |
|
2,045 |
1,773 |
$228.70 |
| 90715 |
|
1,721 |
1,439 |
$137.12 |
| 90734 |
|
730 |
650 |
$126.95 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,344 |
1,070 |
$106.18 |
| 20610 |
|
1,646 |
1,279 |
$95.40 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,013 |
6,487 |
$72.75 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,695 |
2,990 |
$69.52 |
| 93000 |
|
12 |
12 |
$66.45 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,460 |
1,292 |
$55.08 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,496 |
4,648 |
$46.68 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
1,381 |
985 |
$24.49 |
| 81003 |
|
7,212 |
5,184 |
$12.96 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,307 |
1,179 |
$0.00 |
| 90680 |
|
1,582 |
1,342 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
40,684 |
27,431 |
$0.00 |
| 90647 |
|
2,021 |
1,735 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
1,642 |
1,074 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,866 |
1,917 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
6,610 |
4,550 |
$0.00 |
| 96127 |
|
871 |
815 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
264 |
257 |
$0.00 |
| 1036F |
|
181 |
171 |
$0.00 |
| 90696 |
|
413 |
385 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
161 |
111 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
690 |
551 |
$0.00 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
423 |
346 |
$0.00 |
| 3014F |
|
5,465 |
3,602 |
$0.00 |
| J3490 |
Unclassified drugs |
460 |
418 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
405 |
339 |
$0.00 |
| 90651 |
|
705 |
617 |
$0.00 |
| 51798 |
|
12 |
12 |
$0.00 |
| 90686 |
|
967 |
820 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
49 |
38 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
117 |
107 |
$0.00 |
| 1034F |
|
84 |
79 |
$0.00 |
| 90656 |
|
129 |
126 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
17 |
17 |
$0.00 |
| 92567 |
|
17 |
14 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
59 |
40 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
17 |
13 |
$0.00 |
| 29540 |
|
43 |
24 |
$0.00 |
| 90461 |
|
2,848 |
2,465 |
$0.00 |
| 1160F |
|
34,556 |
23,030 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,890 |
1,680 |
$0.00 |
| 4004F |
|
3,921 |
3,043 |
$0.00 |
| 4274F |
|
8,329 |
5,461 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
16,035 |
10,508 |
$0.00 |
| 3288F |
|
313 |
290 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
86 |
67 |
$0.00 |
| 81025 |
|
143 |
123 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,932 |
3,420 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,713 |
1,493 |
$0.00 |
| 1159F |
|
34,573 |
23,042 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
2,400 |
1,585 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
796 |
722 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,693 |
1,519 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
398 |
285 |
$0.00 |
| 90710 |
|
1,014 |
894 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
46,171 |
32,378 |
$0.00 |
| 90633 |
|
1,376 |
1,223 |
$0.00 |
| 95251 |
|
64 |
53 |
$0.00 |
| 90700 |
|
69 |
69 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
138 |
82 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
615 |
235 |
$0.00 |
| 3046F |
|
619 |
394 |
$0.00 |
| 59025 |
Fetal non-stress test |
243 |
81 |
$0.00 |
| 17110 |
|
27 |
24 |
$0.00 |
| 11721 |
|
90 |
85 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
213 |
176 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
265 |
103 |
$0.00 |
| 3016F |
|
178 |
164 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$0.00 |