| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
35,431 |
29,879 |
$1.90M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,395 |
20,507 |
$746K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,088 |
3,668 |
$209K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,751 |
5,463 |
$162K |
| 90791 |
Psychiatric diagnostic evaluation |
1,605 |
1,503 |
$149K |
| 90832 |
Psychotherapy, 30 minutes with patient |
6,141 |
2,984 |
$141K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,956 |
1,145 |
$51K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,474 |
790 |
$49K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,549 |
965 |
$47K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,173 |
732 |
$34K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
782 |
478 |
$25K |
| 87428 |
|
1,234 |
650 |
$20K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
270 |
220 |
$20K |
| 90785 |
|
2,726 |
1,567 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
921 |
689 |
$9K |
| 90686 |
|
2,398 |
1,514 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
373 |
214 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
480 |
453 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
912 |
534 |
$6K |
| 92551 |
|
1,785 |
1,057 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
156 |
110 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
311 |
222 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
515 |
183 |
$3K |
| 90715 |
|
135 |
113 |
$2K |
| 0011A |
|
39 |
37 |
$1K |
| 0012A |
|
34 |
34 |
$1K |
| 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 |
77 |
69 |
$1K |
| 99173 |
|
829 |
465 |
$1K |
| 90670 |
|
864 |
560 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
18 |
$909.75 |
| 96127 |
|
447 |
252 |
$841.49 |
| 99385 |
|
29 |
26 |
$814.16 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
39 |
24 |
$804.13 |
| 81002 |
|
159 |
91 |
$193.56 |
| 90734 |
|
61 |
43 |
$125.88 |
| 90698 |
|
352 |
240 |
$90.00 |
| 90656 |
|
12 |
12 |
$88.00 |
| 90651 |
|
185 |
127 |
$80.00 |
| 90633 |
|
250 |
193 |
$80.00 |
| 90744 |
|
141 |
88 |
$70.00 |
| 90710 |
|
47 |
47 |
$30.00 |
| 90680 |
|
82 |
52 |
$20.00 |
| 90700 |
|
58 |
42 |
$20.00 |
| 90671 |
|
55 |
25 |
$0.07 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
397 |
287 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
15,023 |
12,936 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
4,774 |
2,662 |
$0.00 |
| 3008F |
|
8,183 |
4,573 |
$0.00 |
| 1036F |
|
14,424 |
8,793 |
$0.00 |
| 3079F |
|
1,414 |
789 |
$0.00 |
| 3048F |
|
1,894 |
1,218 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
60 |
55 |
$0.00 |
| 1125F |
|
1,081 |
610 |
$0.00 |
| 3074F |
|
8,229 |
4,633 |
$0.00 |
| 3017F |
|
708 |
375 |
$0.00 |
| 1126F |
|
2,240 |
1,389 |
$0.00 |
| 3075F |
|
890 |
495 |
$0.00 |
| 4010F |
|
467 |
238 |
$0.00 |
| 3049F |
|
533 |
299 |
$0.00 |
| 3014F |
|
22 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
17,824 |
16,614 |
$0.00 |
| 4004F |
|
11,413 |
6,884 |
$0.00 |
| 1160F |
|
12,465 |
6,959 |
$0.00 |
| 3078F |
|
8,270 |
4,694 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
165 |
137 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
7,035 |
3,987 |
$0.00 |
| G8506 |
Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy |
1,039 |
755 |
$0.00 |
| 1159F |
|
12,466 |
6,959 |
$0.00 |
| 3015F |
|
115 |
50 |
$0.00 |
| 3050F |
|
143 |
66 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
239 |
169 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
18 |
16 |
$0.00 |
| 90685 |
|
22 |
20 |
$0.00 |