| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
51,568 |
43,196 |
$8.63M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17,228 |
12,524 |
$251K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,262 |
17,925 |
$140K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
554 |
524 |
$96K |
| 59425 |
|
1,532 |
1,128 |
$34K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
553 |
553 |
$17K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
295 |
288 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,351 |
3,297 |
$11K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
1,032 |
972 |
$9K |
| 99000 |
|
7,832 |
6,820 |
$7K |
| H2000 |
Comprehensive multidisciplinary evaluation |
51 |
51 |
$6K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
231 |
181 |
$6K |
| 92551 |
|
4,119 |
3,161 |
$6K |
| 94760 |
|
25,670 |
16,112 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
147 |
147 |
$5K |
| 96156 |
|
4,533 |
3,043 |
$5K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
723 |
624 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
783 |
572 |
$4K |
| 92015 |
Determination of refractive state |
746 |
746 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
995 |
766 |
$4K |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
30 |
30 |
$3K |
| 86580 |
|
410 |
367 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
39 |
38 |
$3K |
| J3490 |
Unclassified drugs |
71 |
67 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
825 |
632 |
$2K |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
747 |
559 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
644 |
484 |
$1K |
| 97802 |
|
1,366 |
927 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
6,484 |
4,457 |
$1K |
| 81025 |
|
1,384 |
1,166 |
$1K |
| 97803 |
|
1,072 |
641 |
$1K |
| 90670 |
|
393 |
335 |
$1K |
| 90734 |
|
294 |
253 |
$960.96 |
| 59430 |
|
26 |
24 |
$959.88 |
| 90686 |
|
2,948 |
2,219 |
$867.58 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
747 |
499 |
$845.88 |
| 90710 |
|
45 |
45 |
$700.00 |
| 99385 |
|
151 |
123 |
$677.76 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,267 |
880 |
$617.04 |
| 99383 |
|
159 |
140 |
$597.08 |
| 90715 |
|
519 |
406 |
$578.25 |
| 99401 |
|
278 |
208 |
$569.93 |
| 99386 |
|
42 |
26 |
$528.80 |
| 85018 |
|
5,789 |
4,547 |
$477.99 |
| 99173 |
|
6,929 |
5,190 |
$411.48 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
474 |
445 |
$407.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,353 |
1,208 |
$380.12 |
| 81002 |
|
1,712 |
1,463 |
$303.48 |
| 82962 |
|
2,529 |
1,713 |
$270.28 |
| 99384 |
|
107 |
91 |
$195.36 |
| 90696 |
|
36 |
35 |
$155.70 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$150.51 |
| 96151 |
|
17 |
12 |
$124.95 |
| 90674 |
|
129 |
91 |
$98.63 |
| 90633 |
|
389 |
339 |
$89.10 |
| 83655 |
|
95 |
95 |
$84.16 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
52 |
43 |
$76.12 |
| 90688 |
|
179 |
138 |
$75.00 |
| 3008F |
|
44,795 |
28,731 |
$72.00 |
| 90648 |
|
161 |
161 |
$62.37 |
| 69210 |
|
61 |
60 |
$60.44 |
| 90832 |
Psychotherapy, 30 minutes with patient |
138 |
102 |
$52.34 |
| 90651 |
|
596 |
477 |
$44.55 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
359 |
264 |
$34.69 |
| G9920 |
Screening performed and negative |
580 |
377 |
$28.71 |
| G9919 |
Screening performed and positive and provision of recommendations |
145 |
94 |
$28.71 |
| 96127 |
|
452 |
321 |
$24.05 |
| 90716 |
|
73 |
66 |
$8.91 |
| 99402 |
|
91 |
86 |
$8.33 |
| Z6400 |
|
394 |
391 |
$0.00 |
| 90461 |
|
1,069 |
737 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
8,027 |
4,803 |
$0.00 |
| 1160F |
|
2,315 |
1,342 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
7,027 |
4,173 |
$0.00 |
| 3078F |
|
3,222 |
1,877 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
2,272 |
1,319 |
$0.00 |
| 3077F |
|
70 |
44 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,008 |
1,398 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
1,832 |
1,100 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
507 |
311 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
4,633 |
2,833 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
470 |
454 |
$0.00 |
| 1159F |
|
2,405 |
1,404 |
$0.00 |
| 98960 |
|
219 |
192 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
534 |
357 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
194 |
190 |
$0.00 |
| Z6304 |
|
171 |
170 |
$0.00 |
| Z6500 |
|
129 |
129 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
173 |
129 |
$0.00 |
| 90756 |
|
126 |
90 |
$0.00 |
| Z6414 |
|
77 |
71 |
$0.00 |
| 90671 |
|
53 |
43 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
104 |
67 |
$0.00 |
| 96160 |
|
250 |
155 |
$0.00 |
| 90707 |
|
21 |
21 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
323 |
254 |
$0.00 |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
77 |
61 |
$0.00 |
| 90658 |
|
134 |
133 |
$0.00 |
| Z6208 |
|
13 |
13 |
$0.00 |
| 80061 |
Lipid panel |
30 |
27 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
891 |
583 |
$0.00 |
| 90700 |
|
56 |
55 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
19 |
12 |
$0.00 |
| 90713 |
|
14 |
14 |
$0.00 |
| 99382 |
|
35 |
26 |
$0.00 |
| 3725F |
|
12 |
12 |
$0.00 |
| 2028F |
|
58 |
53 |
$0.00 |
| 99442 |
|
93 |
61 |
$0.00 |
| 91321 |
|
30 |
21 |
$0.00 |
| Z6308 |
|
13 |
13 |
$0.00 |
| 80074 |
|
21 |
13 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
72 |
54 |
$0.00 |
| 91312 |
|
26 |
17 |
$0.00 |
| 87902 |
|
16 |
13 |
$0.00 |
| 90682 |
|
13 |
12 |
$0.00 |
| Z6410 |
|
1,272 |
1,044 |
$0.00 |
| 3074F |
|
3,236 |
1,846 |
$0.00 |
| 4000F |
|
54 |
54 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
754 |
551 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
8,484 |
5,209 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
890 |
570 |
$0.00 |
| 1036F |
|
2,550 |
1,574 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
870 |
645 |
$0.00 |
| 96161 |
|
531 |
374 |
$0.00 |
| Z1034 |
|
1,897 |
1,444 |
$0.00 |
| Z6406 |
|
244 |
239 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
149 |
80 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
569 |
386 |
$0.00 |
| 3075F |
|
341 |
225 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
909 |
558 |
$0.00 |
| Z6204 |
|
173 |
171 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
187 |
101 |
$0.00 |
| 1031F |
|
966 |
662 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,133 |
668 |
$0.00 |
| 1000F |
|
2,394 |
1,996 |
$0.00 |
| 90677 |
|
60 |
38 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
2,066 |
1,277 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
310 |
212 |
$0.00 |
| 90698 |
|
79 |
59 |
$0.00 |
| 99441 |
|
144 |
92 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90723 |
|
17 |
17 |
$0.00 |
| 90744 |
|
56 |
39 |
$0.00 |
| 90697 |
|
119 |
94 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
17 |
14 |
$0.00 |
| 86592 |
|
33 |
25 |
$0.00 |
| 86803 |
|
114 |
77 |
$0.00 |
| 3079F |
|
304 |
190 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
93 |
50 |
$0.00 |
| 93000 |
|
27 |
27 |
$0.00 |
| 3351F |
|
21 |
13 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
148 |
95 |
$0.00 |
| 1111F |
|
18 |
13 |
$0.00 |
| 3044F |
|
213 |
127 |
$0.00 |
| Z1038 |
|
42 |
40 |
$0.00 |
| 90620 |
|
23 |
23 |
$0.00 |
| Z1032 |
|
43 |
43 |
$0.00 |
| 90657 |
|
40 |
40 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
15 |
12 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
18 |
16 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
13 |
13 |
$0.00 |
| 98967 |
|
16 |
12 |
$0.00 |
| M1207 |
Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety |
24 |
19 |
$0.00 |
| G2061 |
Qualified nonphysician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 5-10 minutes |
25 |
18 |
$0.00 |
| 86317 |
|
16 |
13 |
$0.00 |
| G2062 |
Qualified nonphysician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 11-20 minutes |
77 |
61 |
$0.00 |
| 90619 |
|
18 |
12 |
$0.00 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
46 |
31 |
$0.00 |