| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
53,043 |
45,318 |
$7.45M |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,460 |
569 |
$59K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,364 |
21,796 |
$54K |
| 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 |
607 |
528 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,411 |
6,838 |
$25K |
| 0011A |
|
175 |
175 |
$11K |
| G9920 |
Screening performed and negative |
1,234 |
793 |
$6K |
| 0012A |
|
92 |
92 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,734 |
3,967 |
$6K |
| 90677 |
|
118 |
75 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
418 |
259 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
555 |
381 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
983 |
608 |
$2K |
| 96156 |
|
1,104 |
957 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,269 |
757 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,361 |
793 |
$2K |
| 92552 |
|
3,496 |
2,199 |
$2K |
| 0031A |
|
25 |
25 |
$2K |
| 99215 |
Prolong outpt/office vis |
464 |
263 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,654 |
3,106 |
$1K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
481 |
447 |
$990.04 |
| 97802 |
|
218 |
218 |
$980.33 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
64 |
37 |
$579.55 |
| 99401 |
|
406 |
350 |
$561.05 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
57 |
38 |
$551.83 |
| 97803 |
|
111 |
111 |
$423.64 |
| 90686 |
|
1,663 |
1,229 |
$386.24 |
| 90674 |
|
269 |
189 |
$257.02 |
| 99384 |
|
56 |
45 |
$246.00 |
| 90715 |
|
201 |
162 |
$241.64 |
| 99383 |
|
35 |
26 |
$153.81 |
| 92551 |
|
311 |
311 |
$145.60 |
| 90756 |
|
92 |
84 |
$120.00 |
| 85018 |
|
3,327 |
2,243 |
$109.55 |
| 82947 |
|
771 |
570 |
$87.29 |
| 99173 |
|
2,469 |
2,024 |
$61.80 |
| 81025 |
|
237 |
143 |
$37.03 |
| 90670 |
|
266 |
204 |
$20.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
769 |
555 |
$17.79 |
| 81000 |
|
864 |
457 |
$17.57 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$16.56 |
| 90680 |
|
93 |
70 |
$10.00 |
| 83655 |
|
485 |
328 |
$8.71 |
| 90696 |
|
25 |
25 |
$0.00 |
| Z6406 |
|
419 |
403 |
$0.00 |
| Z6204 |
|
240 |
232 |
$0.00 |
| 90697 |
|
110 |
94 |
$0.00 |
| 87428 |
|
12 |
12 |
$0.00 |
| 90651 |
|
103 |
97 |
$0.00 |
| 90656 |
|
125 |
105 |
$0.00 |
| Z6402 |
|
223 |
222 |
$0.00 |
| 90723 |
|
42 |
28 |
$0.00 |
| 90716 |
|
66 |
58 |
$0.00 |
| 90688 |
|
18 |
18 |
$0.00 |
| Z6308 |
|
213 |
186 |
$0.00 |
| 90734 |
|
69 |
65 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
868 |
611 |
$0.00 |
| Z6400 |
|
1,076 |
1,040 |
$0.00 |
| 90648 |
|
105 |
74 |
$0.00 |
| Z6304 |
|
1,043 |
958 |
$0.00 |
| Z6300 |
|
283 |
282 |
$0.00 |
| 90658 |
|
51 |
35 |
$0.00 |
| Z6414 |
|
29 |
28 |
$0.00 |
| 90710 |
|
48 |
41 |
$0.00 |
| 90746 |
|
42 |
32 |
$0.00 |
| S0197 |
Prenatal vitamins, 30-day supply |
53 |
41 |
$0.00 |
| Z6200 |
|
165 |
164 |
$0.00 |
| Z6208 |
|
14 |
14 |
$0.00 |
| 90671 |
|
77 |
68 |
$0.00 |
| 90633 |
|
176 |
139 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |
| 90707 |
|
17 |
14 |
$0.00 |
| Z6202 |
|
13 |
13 |
$0.00 |
| 99188 |
|
27 |
14 |
$0.00 |