| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
93,307 |
71,721 |
$25.95M |
| 0011A |
|
178 |
178 |
$8K |
| 0012A |
|
99 |
99 |
$7K |
| 0064A |
|
161 |
161 |
$4K |
| 0521 |
|
124,231 |
56,884 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,587 |
15,366 |
$1K |
| 0134A |
|
87 |
81 |
$536.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,579 |
11,503 |
$378.21 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,491 |
3,139 |
$366.46 |
| 99215 |
Prolong outpt/office vis |
548 |
526 |
$240.71 |
| 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 |
312 |
305 |
$129.76 |
| 90715 |
|
379 |
325 |
$36.01 |
| 81025 |
|
1,622 |
1,498 |
$34.23 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,267 |
2,005 |
$25.09 |
| 59025 |
Fetal non-stress test |
2,262 |
952 |
$22.80 |
| 84443 |
Thyroid stimulating hormone (TSH) |
132 |
130 |
$14.76 |
| 0300 |
|
8,589 |
5,724 |
$13.58 |
| 81002 |
|
172 |
128 |
$10.75 |
| 80053 |
Comprehensive metabolic panel |
175 |
171 |
$9.28 |
| 84439 |
|
104 |
104 |
$7.91 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
304 |
250 |
$6.75 |
| 85018 |
|
345 |
294 |
$2.07 |
| 82962 |
|
870 |
579 |
$2.00 |
| Z1034 |
|
9,258 |
4,986 |
$0.00 |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
245 |
231 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
559 |
446 |
$0.00 |
| Z6402 |
|
674 |
673 |
$0.00 |
| 99000 |
|
5,067 |
4,675 |
$0.00 |
| Z6410 |
|
878 |
858 |
$0.00 |
| 0771 |
|
1,766 |
1,620 |
$0.00 |
| Z6204 |
|
347 |
333 |
$0.00 |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
445 |
443 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
677 |
659 |
$0.00 |
| 0636 |
|
1,519 |
1,349 |
$0.00 |
| Z6406 |
|
2,628 |
2,198 |
$0.00 |
| 99443 |
|
82 |
76 |
$0.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,770 |
894 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,519 |
1,381 |
$0.00 |
| Z1038 |
|
209 |
207 |
$0.00 |
| 99386 |
|
12 |
12 |
$0.00 |
| Z1032 |
|
515 |
514 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
106 |
106 |
$0.00 |
| J3490 |
Unclassified drugs |
30 |
25 |
$0.00 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
113 |
102 |
$0.00 |
| 0520 |
|
225 |
101 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
28 |
26 |
$0.00 |
| 76801 |
|
124 |
124 |
$0.00 |
| 91306 |
|
86 |
86 |
$0.00 |
| 90677 |
|
20 |
13 |
$0.00 |
| 20610 |
|
172 |
137 |
$0.00 |
| 99385 |
|
24 |
24 |
$0.00 |
| Z6404 |
|
12 |
12 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
60 |
44 |
$0.00 |
| 0306 |
|
33 |
33 |
$0.00 |
| 99441 |
|
33 |
30 |
$0.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
38 |
38 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
29 |
29 |
$0.00 |
| 0409 |
|
20 |
13 |
$0.00 |
| Z6300 |
|
668 |
667 |
$0.00 |
| 0500 |
|
15,722 |
6,524 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
48 |
37 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,344 |
1,617 |
$0.00 |
| Z6208 |
|
294 |
238 |
$0.00 |
| Z6200 |
|
700 |
693 |
$0.00 |
| 91313 |
|
72 |
68 |
$0.00 |
| 80061 |
Lipid panel |
113 |
113 |
$0.00 |
| Z6202 |
|
249 |
241 |
$0.00 |
| Z6308 |
|
676 |
666 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
258 |
225 |
$0.00 |
| 99442 |
|
692 |
648 |
$0.00 |
| 59425 |
|
97 |
56 |
$0.00 |
| 81003 |
|
97 |
65 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
15 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$0.00 |
| 0900 |
|
313 |
131 |
$0.00 |
| 99401 |
|
136 |
99 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
142 |
99 |
$0.00 |
| Z6400 |
|
677 |
676 |
$0.00 |
| 0490 |
|
33 |
26 |
$0.00 |
| 0920 |
|
42 |
12 |
$0.00 |
| 82274 |
|
14 |
14 |
$0.00 |
| 96159 |
|
42 |
42 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
25 |
25 |
$0.00 |
| 97803 |
|
14 |
14 |
$0.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
63 |
63 |
$0.00 |
| 0479 |
|
16 |
12 |
$0.00 |