| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
23,009 |
17,619 |
$3.39M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,852 |
17,741 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,238 |
2,538 |
$2K |
| 92551 |
|
2,871 |
1,936 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
357 |
238 |
$1K |
| 90756 |
|
376 |
258 |
$870.40 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
398 |
243 |
$751.23 |
| 3008F |
|
23,412 |
15,311 |
$554.32 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,904 |
1,086 |
$449.17 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,599 |
1,765 |
$438.40 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
229 |
146 |
$391.11 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
609 |
439 |
$289.92 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
87 |
61 |
$282.99 |
| 3725F |
|
2,017 |
1,451 |
$220.17 |
| 90686 |
|
194 |
130 |
$211.91 |
| 3074F |
|
12,569 |
8,574 |
$178.46 |
| 1160F |
|
455 |
304 |
$150.37 |
| 3078F |
|
13,766 |
9,323 |
$129.30 |
| 3079F |
|
3,553 |
2,385 |
$122.43 |
| 3077F |
|
2,733 |
1,866 |
$104.43 |
| 88150 |
|
20 |
12 |
$90.00 |
| 99173 |
|
3,037 |
2,066 |
$78.75 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
104 |
59 |
$63.00 |
| 90656 |
|
18 |
18 |
$48.55 |
| 90734 |
|
94 |
57 |
$27.00 |
| 3080F |
|
791 |
545 |
$26.76 |
| 99201 |
|
13 |
12 |
$22.90 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
25 |
12 |
$12.00 |
| 3075F |
|
3,060 |
2,076 |
$8.10 |
| 85018 |
|
48 |
26 |
$2.07 |
| 1159F |
|
458 |
305 |
$1.20 |
| 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 |
1,105 |
846 |
$0.00 |
| 3279F |
|
192 |
112 |
$0.00 |
| 99496 |
|
29 |
28 |
$0.00 |
| 99443 |
|
418 |
229 |
$0.00 |
| 99000 |
|
152 |
97 |
$0.00 |
| 90688 |
|
31 |
31 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
20 |
13 |
$0.00 |
| 3061F |
|
27 |
14 |
$0.00 |
| 1111F |
|
19 |
17 |
$0.00 |
| 81001 |
|
19 |
12 |
$0.00 |
| 99335 |
|
14 |
14 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
539 |
337 |
$0.00 |
| 3051F |
|
25 |
13 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
39 |
39 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
487 |
293 |
$0.00 |
| 3280F |
|
86 |
45 |
$0.00 |
| 99442 |
|
341 |
177 |
$0.00 |
| 2014F |
|
51 |
51 |
$0.00 |
| 90461 |
|
30 |
16 |
$0.00 |
| 81002 |
|
21 |
12 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12 |
12 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
21 |
12 |
$0.00 |