| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
51,762 |
47,806 |
$4.41M |
| 90832 |
Psychotherapy, 30 minutes with patient |
8,634 |
6,795 |
$279K |
| 90791 |
Psychiatric diagnostic evaluation |
1,582 |
1,412 |
$115K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,963 |
29,741 |
$105K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
550 |
510 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,228 |
7,619 |
$27K |
| 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 |
1,779 |
1,299 |
$26K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,170 |
2,102 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,951 |
3,771 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,506 |
1,480 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
452 |
440 |
$2K |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
105 |
82 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
399 |
391 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
534 |
492 |
$480.68 |
| 90670 |
|
567 |
516 |
$378.00 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
176 |
113 |
$308.35 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
520 |
435 |
$307.03 |
| 99381 |
|
82 |
66 |
$268.14 |
| 90686 |
|
588 |
473 |
$247.41 |
| 92551 |
|
1,000 |
878 |
$246.06 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
262 |
199 |
$225.20 |
| 90723 |
|
270 |
238 |
$225.00 |
| 81001 |
|
586 |
582 |
$205.53 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
262 |
260 |
$180.41 |
| 90633 |
|
234 |
197 |
$153.00 |
| 90674 |
|
119 |
119 |
$142.55 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
34 |
34 |
$137.96 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
104 |
80 |
$115.11 |
| 90685 |
|
370 |
280 |
$92.30 |
| 90648 |
|
117 |
100 |
$90.00 |
| 99173 |
|
1,237 |
1,061 |
$80.03 |
| 81025 |
|
162 |
161 |
$64.14 |
| 90680 |
|
119 |
100 |
$45.00 |
| 90651 |
|
86 |
78 |
$45.00 |
| 99383 |
|
275 |
235 |
$42.42 |
| 90710 |
|
94 |
65 |
$36.00 |
| 85018 |
|
793 |
632 |
$34.24 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
97 |
86 |
$34.16 |
| 90688 |
|
270 |
255 |
$29.11 |
| 90716 |
|
83 |
61 |
$27.00 |
| 90713 |
|
15 |
13 |
$27.00 |
| 90734 |
|
77 |
62 |
$27.00 |
| 82948 |
|
54 |
54 |
$24.39 |
| 90707 |
|
42 |
36 |
$18.00 |
| 90700 |
|
64 |
52 |
$18.00 |
| 90647 |
|
158 |
151 |
$9.00 |
| 90696 |
|
17 |
12 |
$9.00 |
| 90715 |
|
57 |
50 |
$9.00 |
| 99382 |
|
42 |
38 |
$6.26 |
| 1036F |
|
16,045 |
14,785 |
$0.00 |
| 3008F |
|
24,221 |
22,266 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
21,762 |
20,033 |
$0.00 |
| 3074F |
|
16,248 |
14,963 |
$0.00 |
| 3079F |
|
5,612 |
5,220 |
$0.00 |
| 91301 |
|
256 |
251 |
$0.00 |
| 2001F |
|
24,243 |
22,288 |
$0.00 |
| 3048F |
|
2,858 |
2,595 |
$0.00 |
| 3049F |
|
1,809 |
1,631 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
280 |
278 |
$0.00 |
| 3075F |
|
2,006 |
1,842 |
$0.00 |
| 3080F |
|
796 |
719 |
$0.00 |
| 99384 |
|
138 |
129 |
$0.00 |
| 0011A |
|
84 |
82 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
1,045 |
946 |
$0.00 |
| 1034F |
|
15 |
15 |
$0.00 |
| 0012A |
|
30 |
30 |
$0.00 |
| 90744 |
|
23 |
13 |
$0.00 |
| 99385 |
|
13 |
13 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
2,930 |
2,711 |
$0.00 |
| 3078F |
|
14,906 |
13,728 |
$0.00 |
| 3077F |
|
2,927 |
2,710 |
$0.00 |
| 3050F |
|
993 |
892 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
19,789 |
18,213 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
559 |
482 |
$0.00 |
| 90461 |
|
189 |
174 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
67 |
66 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$0.00 |
| 80101 |
|
79 |
78 |
$0.00 |
| 3045F |
|
12 |
12 |
$0.00 |
| 3046F |
|
20 |
16 |
$0.00 |