| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
18,599 |
16,301 |
$2.65M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,954 |
9,925 |
$19K |
| 96156 |
|
4,529 |
3,330 |
$3K |
| 59425 |
|
156 |
116 |
$3K |
| 97803 |
|
3,042 |
1,971 |
$3K |
| 94760 |
|
16,445 |
10,328 |
$3K |
| 92551 |
|
2,030 |
1,461 |
$2K |
| 99401 |
|
2,111 |
1,379 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,069 |
702 |
$1K |
| 97802 |
|
1,500 |
1,018 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,669 |
1,082 |
$890.40 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
202 |
162 |
$659.40 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
454 |
325 |
$607.11 |
| 90686 |
|
673 |
543 |
$327.38 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
76 |
73 |
$269.12 |
| 99173 |
|
4,312 |
3,140 |
$196.82 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
240 |
178 |
$173.49 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
849 |
645 |
$125.05 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
40 |
25 |
$119.80 |
| 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 |
16 |
12 |
$75.26 |
| 3008F |
|
21,004 |
13,676 |
$56.00 |
| 99000 |
|
2,138 |
1,603 |
$54.41 |
| 85018 |
|
2,468 |
1,765 |
$43.47 |
| 96127 |
|
290 |
203 |
$43.29 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,091 |
851 |
$42.00 |
| 90677 |
|
47 |
29 |
$18.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
942 |
626 |
$17.14 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
57 |
42 |
$16.82 |
| 90651 |
|
92 |
68 |
$9.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
561 |
433 |
$3.63 |
| 81002 |
|
102 |
67 |
$1.72 |
| 3080F |
|
252 |
156 |
$0.00 |
| 99402 |
|
82 |
77 |
$0.00 |
| Z6410 |
|
136 |
104 |
$0.00 |
| 3074F |
|
4,670 |
2,836 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,118 |
2,322 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
684 |
558 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
908 |
746 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
783 |
595 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,274 |
940 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,921 |
1,451 |
$0.00 |
| 1000F |
|
1,586 |
1,054 |
$0.00 |
| Z1034 |
|
512 |
367 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
312 |
226 |
$0.00 |
| 1036F |
|
536 |
365 |
$0.00 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
55 |
31 |
$0.00 |
| 3079F |
|
1,180 |
762 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
1,158 |
762 |
$0.00 |
| 1031F |
|
617 |
430 |
$0.00 |
| 90688 |
|
47 |
43 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
139 |
110 |
$0.00 |
| 96161 |
|
371 |
257 |
$0.00 |
| Z6204 |
|
77 |
76 |
$0.00 |
| Z6402 |
|
24 |
24 |
$0.00 |
| 3075F |
|
576 |
380 |
$0.00 |
| 90697 |
|
34 |
26 |
$0.00 |
| Z6406 |
|
63 |
60 |
$0.00 |
| 82962 |
|
137 |
106 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
48 |
37 |
$0.00 |
| G0472 |
Hepatitis c antibody screening, for individual at high risk and other covered indication(s) |
23 |
16 |
$0.00 |
| 86803 |
|
54 |
41 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
15 |
12 |
$0.00 |
| 1034F |
|
22 |
12 |
$0.00 |
| Z1032 |
|
17 |
13 |
$0.00 |
| 90698 |
|
13 |
12 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
2,028 |
1,459 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
216 |
155 |
$0.00 |
| 3078F |
|
4,290 |
2,630 |
$0.00 |
| 1160F |
|
239 |
165 |
$0.00 |
| 90461 |
|
329 |
249 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
493 |
385 |
$0.00 |
| 1159F |
|
240 |
166 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
33 |
28 |
$0.00 |
| Z6304 |
|
57 |
57 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,686 |
1,210 |
$0.00 |
| 3077F |
|
500 |
316 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
71 |
44 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
815 |
550 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
297 |
213 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
182 |
139 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
252 |
178 |
$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) |
1,077 |
771 |
$0.00 |
| 90670 |
|
61 |
55 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
883 |
675 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
68 |
41 |
$0.00 |
| 90734 |
|
35 |
29 |
$0.00 |
| Z6300 |
|
24 |
24 |
$0.00 |
| 90715 |
|
31 |
25 |
$0.00 |
| Z6400 |
|
141 |
141 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
17 |
13 |
$0.00 |
| 98960 |
|
200 |
157 |
$0.00 |
| 3046F |
|
31 |
24 |
$0.00 |
| 80061 |
Lipid panel |
142 |
96 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
85 |
58 |
$0.00 |
| 90671 |
|
16 |
13 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
33 |
33 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| Z6200 |
|
12 |
12 |
$0.00 |
| G9920 |
Screening performed and negative |
60 |
42 |
$0.00 |
| 4004F |
|
37 |
24 |
$0.00 |
| 98966 |
|
15 |
12 |
$0.00 |
| 96160 |
|
18 |
13 |
$0.00 |