| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
14,436 |
12,305 |
$938K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,318 |
17,762 |
$106K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
776 |
544 |
$18K |
| 90834 |
Psychotherapy, 45 minutes with patient |
179 |
125 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,577 |
1,480 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
804 |
773 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
886 |
870 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
725 |
690 |
$4K |
| 90837 |
Psychotherapy, 53 minutes with patient |
34 |
28 |
$4K |
| 90686 |
|
1,250 |
1,238 |
$3K |
| 59425 |
|
285 |
210 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
975 |
831 |
$3K |
| 92551 |
|
889 |
869 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
78 |
75 |
$1K |
| G9012 |
Other specified case management service not elsewhere classified |
22 |
12 |
$1K |
| 99406 |
|
3,079 |
2,728 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,574 |
1,548 |
$1K |
| 90750 |
|
38 |
38 |
$927.51 |
| 90662 |
|
68 |
68 |
$926.02 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
68 |
68 |
$828.07 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,331 |
1,317 |
$819.37 |
| 99173 |
|
3,295 |
3,257 |
$803.32 |
| 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 |
31 |
27 |
$744.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
77 |
74 |
$729.31 |
| 90715 |
|
169 |
168 |
$634.90 |
| 90832 |
Psychotherapy, 30 minutes with patient |
39 |
37 |
$591.98 |
| 90656 |
|
229 |
226 |
$447.01 |
| 82962 |
|
2,869 |
2,565 |
$422.99 |
| 88150 |
|
74 |
74 |
$248.00 |
| 3008F |
|
11,400 |
9,574 |
$226.41 |
| 3074F |
|
5,234 |
4,813 |
$198.24 |
| 81025 |
|
599 |
581 |
$173.32 |
| 81002 |
|
499 |
480 |
$159.54 |
| 90658 |
|
36 |
34 |
$135.00 |
| 85018 |
|
354 |
340 |
$104.65 |
| 3075F |
|
1,132 |
1,103 |
$65.04 |
| 3078F |
|
4,987 |
4,614 |
$60.03 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
69 |
50 |
$60.00 |
| 90651 |
|
12 |
12 |
$36.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
95 |
93 |
$34.95 |
| 0011A |
|
14 |
14 |
$34.00 |
| 99000 |
|
389 |
387 |
$7.26 |
| 36415 |
Collection of venous blood by venipuncture |
46 |
45 |
$6.30 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
1,240 |
1,180 |
$5.01 |
| 3079F |
|
2,078 |
2,007 |
$0.02 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,220 |
1,164 |
$0.02 |
| 3077F |
|
1,183 |
1,125 |
$0.02 |
| 3080F |
|
263 |
256 |
$0.00 |
| 3044F |
|
70 |
70 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
61 |
54 |
$0.00 |
| 91301 |
|
40 |
39 |
$0.00 |
| 94760 |
|
30 |
29 |
$0.00 |
| 0012A |
|
12 |
12 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
214 |
196 |
$0.00 |
| Z1034 |
|
21 |
18 |
$0.00 |
| 99001 |
|
165 |
163 |
$0.00 |
| 0502F |
|
181 |
128 |
$0.00 |
| 3046F |
|
22 |
22 |
$0.00 |