| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
104,922 |
65,013 |
$6.98M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
87,829 |
42,860 |
$1.56M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,688 |
9,797 |
$463K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22,846 |
11,643 |
$258K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,980 |
1,420 |
$57K |
| 97803 |
|
3,449 |
2,022 |
$43K |
| 99454 |
|
1,966 |
743 |
$32K |
| 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 |
3,074 |
1,949 |
$30K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
9,120 |
5,390 |
$29K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,655 |
527 |
$22K |
| 96160 |
|
14,920 |
8,077 |
$20K |
| 99215 |
Prolong outpt/office vis |
425 |
262 |
$20K |
| 99442 |
|
1,246 |
676 |
$18K |
| 90837 |
Psychotherapy, 53 minutes with patient |
562 |
209 |
$18K |
| 97802 |
|
716 |
468 |
$17K |
| 82947 |
|
12,864 |
7,031 |
$16K |
| 81002 |
|
19,133 |
8,066 |
$15K |
| 0012A |
|
860 |
476 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,531 |
1,302 |
$14K |
| 0011A |
|
667 |
450 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,058 |
1,051 |
$13K |
| 90791 |
Psychiatric diagnostic evaluation |
386 |
134 |
$11K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
436 |
247 |
$11K |
| 81025 |
|
3,952 |
2,229 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
356 |
211 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
702 |
391 |
$9K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
236 |
113 |
$9K |
| 90834 |
Psychotherapy, 45 minutes with patient |
512 |
180 |
$9K |
| 0064A |
|
406 |
213 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,492 |
480 |
$8K |
| 90686 |
|
1,362 |
734 |
$7K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
19 |
12 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
160 |
155 |
$6K |
| 59430 |
|
152 |
88 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
229 |
96 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
924 |
514 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
214 |
97 |
$4K |
| 90674 |
|
386 |
221 |
$4K |
| 99457 |
|
195 |
73 |
$3K |
| 99441 |
|
631 |
259 |
$2K |
| 82962 |
|
1,285 |
1,161 |
$2K |
| 90715 |
|
172 |
94 |
$2K |
| 76801 |
|
104 |
42 |
$2K |
| H1000 |
Prenatal care, at-risk assessment |
198 |
99 |
$2K |
| 81003 |
|
1,566 |
1,218 |
$1K |
| 99404 |
|
36 |
16 |
$1K |
| 0031A |
|
66 |
33 |
$1K |
| 99406 |
|
273 |
145 |
$867.57 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
30 |
13 |
$695.95 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
33 |
12 |
$604.12 |
| S9470 |
Nutritional counseling, dietitian visit |
119 |
63 |
$484.47 |
| 90658 |
|
111 |
57 |
$474.17 |
| 87210 |
|
223 |
107 |
$373.04 |
| 36416 |
|
250 |
142 |
$323.37 |
| 99201 |
|
26 |
13 |
$295.34 |
| 96127 |
|
55 |
55 |
$182.47 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
26 |
13 |
$79.04 |
| 3074F |
|
2,075 |
1,201 |
$71.31 |
| 3008F |
|
5,578 |
2,312 |
$64.03 |
| 92551 |
|
38 |
13 |
$58.56 |
| 3078F |
|
1,851 |
1,139 |
$48.00 |
| 3075F |
|
525 |
308 |
$35.49 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
20 |
13 |
$25.05 |
| 99072 |
|
705 |
406 |
$22.40 |
| 91301 |
|
1,777 |
1,076 |
$8.52 |
| 90461 |
|
80 |
36 |
$5.35 |
| 91306 |
|
383 |
211 |
$1.52 |
| 3044F |
|
340 |
253 |
$0.78 |
| 3079F |
|
747 |
378 |
$0.67 |
| 91303 |
|
62 |
32 |
$0.26 |
| 3077F |
|
435 |
181 |
$0.23 |
| 3080F |
|
391 |
163 |
$0.17 |
| 3046F |
|
25 |
13 |
$0.06 |
| 99172 |
|
36 |
12 |
$0.03 |
| 4004F |
|
7,728 |
4,149 |
$0.00 |
| 2014F |
|
4,792 |
3,209 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
87 |
29 |
$0.00 |
| 3051F |
|
29 |
12 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
5,501 |
3,511 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
8,424 |
3,355 |
$0.00 |
| 1036F |
|
6,905 |
6,057 |
$0.00 |
| 1000F |
|
27 |
25 |
$0.00 |