| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,911 |
5,707 |
$1.10M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,921 |
14,824 |
$381K |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,779 |
2,929 |
$204K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,534 |
3,856 |
$147K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,635 |
1,071 |
$132K |
| 90791 |
Psychiatric diagnostic evaluation |
828 |
707 |
$57K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
972 |
923 |
$47K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,180 |
804 |
$40K |
| 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 |
1,561 |
1,266 |
$37K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
721 |
671 |
$36K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
612 |
579 |
$29K |
| 99173 |
|
1,915 |
1,808 |
$28K |
| 92551 |
|
1,832 |
1,724 |
$19K |
| 3008F |
|
6,603 |
5,410 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
242 |
219 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
891 |
692 |
$12K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
436 |
208 |
$12K |
| 99215 |
Prolong outpt/office vis |
233 |
202 |
$11K |
| 0011A |
|
294 |
183 |
$7K |
| 0012A |
|
183 |
134 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
222 |
188 |
$5K |
| 90686 |
|
1,221 |
1,139 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
625 |
543 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
152 |
126 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
408 |
215 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
93 |
67 |
$3K |
| 99188 |
|
254 |
228 |
$3K |
| 90651 |
|
397 |
373 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
127 |
118 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
116 |
108 |
$1K |
| 99406 |
|
768 |
608 |
$1K |
| 99383 |
|
28 |
26 |
$1K |
| 0002A |
|
63 |
34 |
$1K |
| 90670 |
|
351 |
321 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
45 |
45 |
$725.75 |
| 0001A |
|
58 |
31 |
$677.60 |
| 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 |
24 |
17 |
$627.19 |
| 99000 |
|
296 |
153 |
$580.07 |
| 80061 |
Lipid panel |
63 |
59 |
$568.74 |
| 99001 |
|
394 |
247 |
$568.40 |
| 90685 |
|
145 |
131 |
$444.52 |
| 90633 |
|
149 |
138 |
$418.78 |
| 81025 |
|
125 |
96 |
$393.86 |
| 99442 |
|
18 |
12 |
$353.52 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18 |
17 |
$274.44 |
| 90688 |
|
17 |
15 |
$240.69 |
| 96127 |
|
73 |
72 |
$239.40 |
| 90715 |
|
87 |
84 |
$230.18 |
| 90647 |
|
60 |
56 |
$186.72 |
| 90734 |
|
74 |
68 |
$179.07 |
| 85018 |
|
70 |
61 |
$154.93 |
| 90696 |
|
43 |
42 |
$129.82 |
| 90710 |
|
42 |
41 |
$129.82 |
| 90698 |
|
41 |
37 |
$122.47 |
| 90674 |
|
53 |
48 |
$119.16 |
| 83655 |
|
17 |
14 |
$100.46 |
| 90680 |
|
29 |
24 |
$76.46 |
| 90620 |
|
32 |
26 |
$73.15 |
| 83037 |
|
21 |
16 |
$58.26 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
15 |
$54.75 |
| 90744 |
|
22 |
16 |
$49.65 |
| 91301 |
|
358 |
234 |
$0.75 |
| 91300 |
|
88 |
29 |
$0.32 |
| 3074F |
|
2,478 |
1,923 |
$0.00 |
| 3079F |
|
821 |
636 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
132 |
129 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
59 |
54 |
$0.00 |
| 1170F |
|
50 |
37 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
115 |
109 |
$0.00 |
| 3075F |
|
127 |
102 |
$0.00 |
| 4010F |
|
83 |
65 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$0.00 |
| 3080F |
|
81 |
56 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
25 |
24 |
$0.00 |
| 1159F |
|
3,981 |
3,046 |
$0.00 |
| 1160F |
|
3,982 |
3,046 |
$0.00 |
| 3078F |
|
1,980 |
1,524 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
60 |
46 |
$0.00 |
| D1110 |
Prophylaxis - adult |
112 |
109 |
$0.00 |
| 3077F |
|
152 |
119 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
91 |
88 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
26 |
24 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
54 |
46 |
$0.00 |
| 4004F |
|
35 |
28 |
$0.00 |
| D1120 |
Prophylaxis - child |
28 |
26 |
$0.00 |