| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
22,372 |
18,850 |
$3.07M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,363 |
8,239 |
$19K |
| 59425 |
|
435 |
337 |
$11K |
| 94760 |
|
9,109 |
5,550 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,068 |
1,468 |
$3K |
| 96156 |
|
2,294 |
1,669 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,527 |
3,844 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
314 |
217 |
$3K |
| 97803 |
|
1,098 |
752 |
$2K |
| 92551 |
|
1,829 |
1,320 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
183 |
141 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
775 |
520 |
$912.66 |
| 97802 |
|
937 |
656 |
$728.40 |
| 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 |
28 |
14 |
$665.22 |
| 99215 |
Prolong outpt/office vis |
76 |
52 |
$629.20 |
| 98960 |
|
139 |
106 |
$550.80 |
| 99386 |
|
19 |
13 |
$396.60 |
| 99401 |
|
172 |
136 |
$319.61 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
17 |
12 |
$201.84 |
| 90686 |
|
1,371 |
1,099 |
$180.82 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
330 |
245 |
$164.49 |
| 99385 |
|
18 |
12 |
$114.10 |
| 99000 |
|
3,217 |
2,315 |
$68.89 |
| 90651 |
|
281 |
201 |
$66.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
23 |
16 |
$34.28 |
| 90677 |
|
22 |
14 |
$27.00 |
| 96127 |
|
250 |
187 |
$24.05 |
| 81002 |
|
406 |
288 |
$18.92 |
| 81025 |
|
81 |
57 |
$14.00 |
| 90671 |
|
157 |
107 |
$9.00 |
| 90633 |
|
125 |
87 |
$9.00 |
| 85018 |
|
489 |
356 |
$6.21 |
| 99173 |
|
2,497 |
1,812 |
$3.41 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
226 |
151 |
$0.00 |
| 3080F |
|
105 |
65 |
$0.00 |
| 3008F |
|
19,280 |
12,742 |
$0.00 |
| 3074F |
|
1,525 |
928 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
612 |
514 |
$0.00 |
| 96161 |
|
278 |
206 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
317 |
241 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,350 |
1,021 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
194 |
169 |
$0.00 |
| Z6410 |
|
219 |
172 |
$0.00 |
| Z1034 |
|
844 |
656 |
$0.00 |
| 1031F |
|
919 |
633 |
$0.00 |
| Z6204 |
|
36 |
31 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
538 |
387 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,481 |
2,563 |
$0.00 |
| 3075F |
|
223 |
156 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
369 |
280 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
773 |
596 |
$0.00 |
| 90697 |
|
115 |
79 |
$0.00 |
| 1000F |
|
863 |
613 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
100 |
80 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
2,163 |
1,599 |
$0.00 |
| 99383 |
|
15 |
12 |
$0.00 |
| 90688 |
|
127 |
115 |
$0.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
14 |
13 |
$0.00 |
| 3079F |
|
328 |
219 |
$0.00 |
| 1036F |
|
168 |
114 |
$0.00 |
| 82962 |
|
67 |
50 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
25 |
16 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
18 |
18 |
$0.00 |
| 90674 |
|
17 |
13 |
$0.00 |
| 90619 |
|
116 |
79 |
$0.00 |
| 1111F |
|
39 |
28 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
14 |
14 |
$0.00 |
| 99441 |
|
44 |
44 |
$0.00 |
| 86803 |
|
43 |
30 |
$0.00 |
| Z6406 |
|
76 |
64 |
$0.00 |
| 90716 |
|
14 |
12 |
$0.00 |
| 99402 |
|
14 |
13 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
2,404 |
1,662 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
1,545 |
1,154 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,746 |
1,919 |
$0.00 |
| 3078F |
|
1,485 |
921 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,415 |
1,081 |
$0.00 |
| 90461 |
|
703 |
532 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
246 |
153 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
263 |
181 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
659 |
532 |
$0.00 |
| Z6400 |
|
97 |
85 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
370 |
278 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
42 |
31 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
522 |
397 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
203 |
143 |
$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) |
474 |
357 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
637 |
635 |
$0.00 |
| Z6304 |
|
28 |
28 |
$0.00 |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
22 |
15 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
102 |
92 |
$0.00 |
| 90670 |
|
44 |
41 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
76 |
54 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
46 |
44 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
137 |
94 |
$0.00 |
| 1159F |
|
140 |
106 |
$0.00 |
| 3077F |
|
186 |
122 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
24 |
$0.00 |
| G0407 |
Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth |
20 |
19 |
$0.00 |
| 1160F |
|
146 |
108 |
$0.00 |
| 90734 |
|
19 |
14 |
$0.00 |
| 80061 |
Lipid panel |
59 |
42 |
$0.00 |
| 90715 |
|
21 |
14 |
$0.00 |
| 90756 |
|
17 |
12 |
$0.00 |