| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
37,190 |
29,154 |
$3.27M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,338 |
12,336 |
$429K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,154 |
15,835 |
$326K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,198 |
5,434 |
$75K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
905 |
729 |
$42K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
733 |
577 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,181 |
829 |
$25K |
| 99000 |
|
6,705 |
5,652 |
$23K |
| 96156 |
|
518 |
431 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
894 |
669 |
$21K |
| 59025 |
Fetal non-stress test |
1,704 |
358 |
$21K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
268 |
203 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,148 |
839 |
$15K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
152 |
126 |
$13K |
| 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 |
329 |
278 |
$12K |
| 99205 |
Prolong outpt/office vis |
217 |
146 |
$11K |
| J3490 |
Unclassified drugs |
208 |
158 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
318 |
229 |
$9K |
| 81003 |
|
7,185 |
4,159 |
$9K |
| 99215 |
Prolong outpt/office vis |
168 |
127 |
$8K |
| 85018 |
|
4,679 |
3,660 |
$7K |
| 99381 |
|
220 |
162 |
$6K |
| 81025 |
|
2,262 |
1,710 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
79 |
55 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
333 |
276 |
$4K |
| 92552 |
|
315 |
235 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
397 |
347 |
$3K |
| 76830 |
Ultrasound, transvaginal |
46 |
38 |
$3K |
| 99385 |
|
103 |
88 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
28 |
28 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
33 |
26 |
$2K |
| 90744 |
|
255 |
206 |
$2K |
| 90698 |
|
230 |
194 |
$1K |
| 90633 |
|
186 |
138 |
$1K |
| 81002 |
|
804 |
570 |
$1K |
| 90710 |
|
191 |
137 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
36 |
24 |
$1K |
| 93000 |
|
69 |
59 |
$1K |
| 90671 |
|
92 |
82 |
$668.52 |
| G9920 |
Screening performed and negative |
985 |
816 |
$660.33 |
| 20610 |
|
15 |
14 |
$589.29 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
12 |
$584.10 |
| 90670 |
|
72 |
69 |
$561.96 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
14 |
12 |
$432.36 |
| 85651 |
|
181 |
137 |
$324.30 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
17 |
13 |
$286.52 |
| 99383 |
|
17 |
12 |
$217.12 |
| G9919 |
Screening performed and positive and provision of recommendations |
19 |
15 |
$172.26 |
| 90696 |
|
18 |
13 |
$115.92 |
| 87070 |
|
26 |
16 |
$96.59 |
| 90680 |
|
16 |
12 |
$89.10 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
41 |
34 |
$49.20 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
45 |
36 |
$26.12 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
40 |
37 |
$17.68 |
| 96160 |
|
314 |
284 |
$0.00 |
| 4004F |
|
479 |
408 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
19 |
19 |
$0.00 |
| 99173 |
|
72 |
70 |
$0.00 |
| 4553F |
|
14 |
12 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
363 |
302 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
29 |
28 |
$0.00 |
| 3016F |
|
252 |
209 |
$0.00 |
| 4551F |
|
32 |
31 |
$0.00 |
| 99408 |
|
13 |
13 |
$0.00 |
| 3078F |
|
21 |
15 |
$0.00 |
| 81000 |
|
75 |
71 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
416 |
368 |
$0.00 |
| 1036F |
|
306 |
261 |
$0.00 |
| 96161 |
|
360 |
299 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
460 |
399 |
$0.00 |
| 3510F |
|
907 |
728 |
$0.00 |
| 3352F |
|
70 |
64 |
$0.00 |
| 3079F |
|
17 |
12 |
$0.00 |
| Z1034 |
|
26 |
19 |
$0.00 |
| G8553 |
|
98 |
89 |
$0.00 |