| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
22,605 |
18,348 |
$3.64M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,177 |
13,171 |
$335K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,349 |
3,615 |
$78K |
| 90837 |
Psychotherapy, 53 minutes with patient |
790 |
345 |
$39K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,542 |
1,173 |
$29K |
| 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 |
1,104 |
908 |
$16K |
| 90791 |
Psychiatric diagnostic evaluation |
129 |
96 |
$8K |
| 97803 |
|
268 |
258 |
$7K |
| 97802 |
|
222 |
218 |
$7K |
| 99000 |
|
5,097 |
4,315 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,722 |
1,347 |
$6K |
| 99205 |
Prolong outpt/office vis |
92 |
66 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
88 |
66 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
180 |
136 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
76 |
76 |
$2K |
| 90746 |
|
34 |
24 |
$2K |
| 92552 |
|
189 |
170 |
$980.52 |
| 81025 |
|
535 |
447 |
$862.23 |
| 90715 |
|
35 |
27 |
$769.41 |
| 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 |
17 |
17 |
$737.09 |
| 92499 |
|
217 |
185 |
$567.72 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$558.16 |
| 90658 |
|
334 |
325 |
$523.26 |
| 0011A |
|
19 |
15 |
$268.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
75 |
69 |
$237.98 |
| 81002 |
|
495 |
423 |
$184.61 |
| A4267 |
Contraceptive supply, condom, male, each |
12 |
12 |
$168.00 |
| 85018 |
|
232 |
213 |
$162.46 |
| 36415 |
Collection of venous blood by venipuncture |
57 |
53 |
$97.22 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
15 |
13 |
$90.40 |
| 99173 |
|
12 |
12 |
$47.98 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$0.00 |
| 0521 |
|
27 |
16 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
28 |
15 |
$0.00 |
| 99441 |
|
799 |
744 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
223 |
206 |
$0.00 |
| 91301 |
|
17 |
16 |
$0.00 |