| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,954 |
4,033 |
$1.13M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,079 |
10,413 |
$207K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,053 |
3,756 |
$59K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
580 |
565 |
$22K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
276 |
91 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
397 |
394 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
604 |
594 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
522 |
522 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
926 |
908 |
$10K |
| 0012A |
|
180 |
180 |
$7K |
| 90686 |
|
658 |
638 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
224 |
222 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
115 |
115 |
$6K |
| 0011A |
|
169 |
169 |
$5K |
| 97803 |
|
69 |
67 |
$2K |
| 96127 |
|
1,073 |
985 |
$2K |
| 96156 |
|
65 |
64 |
$2K |
| 99385 |
|
28 |
28 |
$1K |
| 90461 |
|
71 |
70 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$993.78 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$881.57 |
| 96160 |
|
450 |
397 |
$803.31 |
| 97802 |
|
15 |
15 |
$634.50 |
| 0013A |
|
14 |
14 |
$520.00 |
| 90715 |
|
26 |
25 |
$515.23 |
| 0064A |
|
12 |
12 |
$440.00 |
| 99441 |
|
88 |
87 |
$423.40 |
| 99442 |
|
33 |
33 |
$409.48 |
| 99386 |
|
14 |
13 |
$356.98 |
| 90688 |
|
18 |
17 |
$243.33 |
| 90656 |
|
28 |
28 |
$158.09 |
| 99429 |
|
13 |
13 |
$130.00 |
| 3008F |
|
26 |
24 |
$120.00 |
| 82962 |
|
486 |
446 |
$101.03 |
| 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 |
98 |
92 |
$35.65 |
| 81002 |
|
26 |
26 |
$9.08 |
| 3077F |
|
675 |
621 |
$9.00 |
| 3078F |
|
819 |
754 |
$9.00 |
| 3079F |
|
567 |
545 |
$7.00 |
| 3074F |
|
781 |
730 |
$3.00 |
| 3075F |
|
353 |
339 |
$3.00 |
| 3080F |
|
382 |
349 |
$1.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,539 |
2,853 |
$0.00 |
| 99000 |
|
30 |
30 |
$0.00 |
| 1111F |
|
30 |
30 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
111 |
110 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
42 |
13 |
$0.00 |