| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
130,939 |
96,630 |
$24.03M |
| 00003 |
|
26,201 |
20,143 |
$6.37M |
| 99213 |
|
91,238 |
61,877 |
$279K |
| 90832 |
|
11,968 |
6,999 |
$111K |
| 99392 |
|
5,441 |
4,005 |
$36K |
| 90834 |
|
3,361 |
1,561 |
$35K |
| 99391 |
|
3,781 |
2,903 |
$20K |
| 97802 |
|
16,071 |
13,892 |
$17K |
| 99204 |
|
1,651 |
1,319 |
$14K |
| 90839 |
|
442 |
392 |
$14K |
| 99214 |
|
6,559 |
4,808 |
$14K |
| 99396 |
|
1,511 |
1,320 |
$13K |
| 99395 |
|
1,879 |
1,496 |
$11K |
| 0004A |
|
128 |
122 |
$8K |
| 99212 |
|
7,753 |
4,790 |
$8K |
| 92551 |
|
3,992 |
3,294 |
$8K |
| 0002A |
|
112 |
111 |
$7K |
| 0001A |
|
110 |
109 |
$7K |
| 86769 |
|
721 |
382 |
$7K |
| 99393 |
|
1,342 |
946 |
$5K |
| 0011A |
|
77 |
76 |
$5K |
| G9012 |
Other specified case management service not elsewhere classified |
5,615 |
2,395 |
$5K |
| 90670 |
|
2,515 |
1,954 |
$4K |
| 90658 |
|
3,327 |
2,597 |
$4K |
| 99215 |
Prolong outpt/office vis |
573 |
336 |
$4K |
| 0012A |
|
50 |
49 |
$3K |
| 0001F |
|
42,904 |
36,322 |
$3K |
| 96110 |
|
770 |
616 |
$3K |
| 97803 |
|
9,379 |
7,701 |
$3K |
| 99442 |
|
9,116 |
6,793 |
$3K |
| 90710 |
|
749 |
568 |
$2K |
| 90686 |
|
1,647 |
1,468 |
$2K |
| 99211 |
|
1,154 |
708 |
$2K |
| 90791 |
|
546 |
529 |
$2K |
| 2001F |
|
51,344 |
43,608 |
$2K |
| H0049 |
Alcohol and/or drug screening |
220 |
198 |
$2K |
| 90471 |
|
14,238 |
11,836 |
$2K |
| 87635 |
|
186 |
85 |
$2K |
| 99394 |
|
370 |
272 |
$2K |
| 90715 |
|
575 |
517 |
$2K |
| 3008F |
|
51,140 |
43,219 |
$1K |
| 90633 |
|
1,318 |
989 |
$1K |
| 90698 |
|
1,561 |
1,199 |
$974.56 |
| 90671 |
|
385 |
300 |
$872.96 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,501 |
1,350 |
$831.08 |
| 99203 |
|
194 |
146 |
$795.10 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
453 |
394 |
$695.97 |
| 81000 |
|
6,828 |
4,900 |
$686.14 |
| 90697 |
|
271 |
205 |
$626.34 |
| 90651 |
|
138 |
126 |
$580.14 |
| 90656 |
|
317 |
301 |
$557.51 |
| 83037 |
|
5,706 |
5,141 |
$513.69 |
| 90680 |
|
1,445 |
1,097 |
$494.23 |
| 96372 |
|
584 |
502 |
$464.00 |
| 85018 |
|
1,146 |
1,000 |
$405.94 |
| 90744 |
|
976 |
735 |
$353.27 |
| 76801 |
|
366 |
310 |
$265.40 |
| 90472 |
|
4,800 |
3,864 |
$243.05 |
| 90700 |
|
244 |
160 |
$234.56 |
| 99381 |
|
174 |
171 |
$224.85 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
373 |
343 |
$221.10 |
| 90649 |
|
32 |
28 |
$172.08 |
| 86580 |
|
129 |
109 |
$161.57 |
| 96156 |
|
376 |
376 |
$90.36 |
| 90648 |
|
199 |
130 |
$76.27 |
| 83036 |
|
786 |
687 |
$76.23 |
| 97804 |
|
90 |
29 |
$76.20 |
| 3074F |
|
11,267 |
10,326 |
$47.75 |
| 3078F |
|
11,714 |
10,713 |
$37.35 |
| 90716 |
|
60 |
36 |
$27.00 |
| 90662 |
|
63 |
62 |
$25.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
94 |
91 |
$18.60 |
| 90707 |
|
49 |
29 |
$18.00 |
| 99401 |
|
120 |
120 |
$16.66 |
| 90474 |
|
304 |
250 |
$14.46 |
| 90677 |
|
19 |
13 |
$9.00 |
| 90696 |
|
26 |
16 |
$9.00 |
| 96161 |
|
357 |
310 |
$8.50 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
3,223 |
1,617 |
$0.92 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
307 |
293 |
$0.59 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,797 |
1,703 |
$0.56 |
| 3079F |
|
1,431 |
1,386 |
$0.01 |
| 1055F |
|
2,202 |
2,135 |
$0.00 |
| Z6406 |
|
286 |
285 |
$0.00 |
| 3044F |
|
82 |
82 |
$0.00 |
| 3075F |
|
895 |
879 |
$0.00 |
| Z6204 |
|
954 |
888 |
$0.00 |
| Z6410 |
|
1,251 |
1,105 |
$0.00 |
| 90732 |
|
122 |
122 |
$0.00 |
| Z6402 |
|
131 |
131 |
$0.00 |
| 90792 |
|
12 |
12 |
$0.00 |
| 90733 |
|
22 |
12 |
$0.00 |
| 99457 |
|
14 |
12 |
$0.00 |
| 3080F |
|
44 |
42 |
$0.00 |
| H2000 |
Comprehensive multidisciplinary evaluation |
12 |
12 |
$0.00 |
| G9007 |
Coordinated care fee, scheduled team conference |
157 |
116 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
13 |
13 |
$0.00 |
| Z6400 |
|
1,143 |
1,055 |
$0.00 |
| 90833 |
|
924 |
797 |
$0.00 |
| 90473 |
|
1,032 |
752 |
$0.00 |
| 90460 |
|
475 |
346 |
$0.00 |
| Z6300 |
|
130 |
130 |
$0.00 |
| Z6304 |
|
260 |
260 |
$0.00 |
| 2028F |
|
128 |
128 |
$0.00 |
| 3077F |
|
830 |
787 |
$0.00 |
| A4550 |
Surgical trays |
15 |
12 |
$0.00 |
| Z6200 |
|
131 |
131 |
$0.00 |
| 90461 |
|
42 |
25 |
$0.00 |
| Z6414 |
|
12 |
12 |
$0.00 |
| Z6500 |
|
12 |
12 |
$0.00 |