| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
22,306 |
18,390 |
$2.67M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,761 |
6,162 |
$86K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,516 |
3,005 |
$63K |
| 00003 |
Internal/system code - not a standard HCPCS code |
124 |
63 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,157 |
2,860 |
$22K |
| 90832 |
Psychotherapy, 30 minutes with patient |
594 |
310 |
$20K |
| 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 |
1,411 |
872 |
$16K |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
586 |
483 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
240 |
225 |
$12K |
| 90791 |
Psychiatric diagnostic evaluation |
132 |
89 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
240 |
214 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
142 |
92 |
$2K |
| 0012A |
|
94 |
55 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
56 |
54 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
33 |
25 |
$1K |
| 99422 |
|
417 |
322 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
73 |
60 |
$964.60 |
| 90688 |
|
82 |
60 |
$922.30 |
| 0011A |
|
73 |
37 |
$889.50 |
| 99382 |
|
14 |
14 |
$659.82 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$658.80 |
| 90674 |
|
43 |
39 |
$591.97 |
| 90686 |
|
181 |
113 |
$360.90 |
| G9920 |
Screening performed and negative |
27 |
16 |
$359.60 |
| 92551 |
|
119 |
88 |
$356.16 |
| 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 |
20 |
14 |
$294.30 |
| 90670 |
|
108 |
86 |
$252.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
119 |
100 |
$216.69 |
| 99173 |
|
555 |
436 |
$192.44 |
| 90723 |
|
53 |
40 |
$135.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
164 |
141 |
$115.96 |
| 99215 |
Prolong outpt/office vis |
47 |
31 |
$114.40 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
322 |
288 |
$56.64 |
| 85018 |
|
42 |
42 |
$44.94 |
| 90716 |
|
22 |
12 |
$27.00 |
| 81001 |
|
17 |
12 |
$9.83 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,434 |
1,220 |
$0.00 |
| 3008F |
|
1,721 |
1,466 |
$0.00 |
| 1036F |
|
916 |
749 |
$0.00 |
| 91301 |
|
70 |
61 |
$0.00 |
| 2001F |
|
1,725 |
1,468 |
$0.00 |
| 3074F |
|
1,104 |
929 |
$0.00 |
| 90647 |
|
47 |
45 |
$0.00 |
| 3079F |
|
315 |
274 |
$0.00 |
| 3075F |
|
14 |
14 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
17 |
14 |
$0.00 |
| 3080F |
|
15 |
12 |
$0.00 |
| 3048F |
|
23 |
18 |
$0.00 |
| 3078F |
|
943 |
807 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,321 |
1,120 |
$0.00 |
| 80101 |
|
125 |
118 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
100 |
85 |
$0.00 |
| 90461 |
|
100 |
82 |
$0.00 |
| 99442 |
|
14 |
13 |
$0.00 |
| 3077F |
|
100 |
85 |
$0.00 |