| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
51,437 |
44,640 |
$6.31M |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,794 |
1,377 |
$42K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,275 |
675 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,059 |
19,852 |
$8K |
| 90791 |
Psychiatric diagnostic evaluation |
258 |
171 |
$7K |
| 0011A |
|
151 |
102 |
$6K |
| 0012A |
|
124 |
88 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,965 |
2,753 |
$4K |
| G9920 |
Screening performed and negative |
605 |
587 |
$4K |
| G9012 |
Other specified case management service not elsewhere classified |
15 |
14 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,490 |
2,253 |
$500.02 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
40 |
$337.95 |
| 97803 |
|
1,309 |
1,201 |
$208.36 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
23 |
13 |
$189.10 |
| 97802 |
|
491 |
472 |
$121.40 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
12 |
12 |
$91.35 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
28 |
$42.38 |
| 92551 |
|
117 |
90 |
$38.00 |
| 90686 |
|
152 |
139 |
$27.00 |
| 85018 |
|
140 |
91 |
$18.90 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
101 |
89 |
$18.00 |
| 90715 |
|
55 |
49 |
$18.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
298 |
273 |
$16.50 |
| 99173 |
|
175 |
125 |
$15.96 |
| 3080F |
|
156 |
142 |
$0.00 |
| 3074F |
|
3,463 |
3,225 |
$0.00 |
| 3079F |
|
1,177 |
1,092 |
$0.00 |
| 3075F |
|
716 |
677 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
24 |
24 |
$0.00 |
| 1126F |
|
701 |
650 |
$0.00 |
| 3008F |
|
905 |
835 |
$0.00 |
| 1170F |
|
1,124 |
1,038 |
$0.00 |
| 3044F |
|
764 |
702 |
$0.00 |
| 3351F |
|
46 |
43 |
$0.00 |
| 82962 |
|
496 |
464 |
$0.00 |
| 1000F |
|
14 |
14 |
$0.00 |
| 1123F |
|
20 |
18 |
$0.00 |
| 1159F |
|
1,135 |
1,055 |
$0.00 |
| 3725F |
|
119 |
114 |
$0.00 |
| 1160F |
|
1,205 |
1,072 |
$0.00 |
| 81002 |
|
166 |
131 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
392 |
365 |
$0.00 |
| 3077F |
|
778 |
705 |
$0.00 |
| 3078F |
|
3,703 |
3,455 |
$0.00 |
| 1158F |
|
20 |
18 |
$0.00 |
| Z6400 |
|
13 |
13 |
$0.00 |