| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
41,787 |
32,454 |
$5.36M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,692 |
13,832 |
$447K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,940 |
5,357 |
$174K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,872 |
2,825 |
$95K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,937 |
2,855 |
$86K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,898 |
1,313 |
$80K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,189 |
1,146 |
$53K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,118 |
755 |
$53K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,303 |
1,284 |
$49K |
| 90791 |
Psychiatric diagnostic evaluation |
692 |
568 |
$27K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
318 |
313 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
526 |
512 |
$17K |
| 90837 |
Psychotherapy, 53 minutes with patient |
402 |
271 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
374 |
361 |
$15K |
| 99381 |
|
640 |
579 |
$10K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
161 |
126 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,333 |
1,298 |
$5K |
| 99215 |
Prolong outpt/office vis |
127 |
124 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,644 |
3,570 |
$4K |
| 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 |
126 |
119 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
85 |
81 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
932 |
770 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
25 |
$1K |
| 90461 |
|
4,049 |
2,582 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
440 |
426 |
$769.78 |
| 87590 |
|
148 |
141 |
$90.32 |
| 87490 |
|
147 |
140 |
$76.44 |
| 90715 |
|
100 |
97 |
$31.51 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
291 |
285 |
$28.50 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
818 |
781 |
$27.37 |
| 90670 |
|
1,772 |
1,747 |
$20.01 |
| 90686 |
|
1,426 |
1,404 |
$18.63 |
| 92551 |
|
266 |
256 |
$0.08 |
| 90633 |
|
997 |
976 |
$0.01 |
| 90710 |
|
784 |
775 |
$0.00 |
| 90681 |
|
856 |
842 |
$0.00 |
| 90648 |
|
745 |
727 |
$0.00 |
| 90700 |
|
380 |
373 |
$0.00 |
| 90734 |
|
90 |
88 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
68 |
66 |
$0.00 |
| 99173 |
|
331 |
315 |
$0.00 |
| 90677 |
|
281 |
273 |
$0.00 |
| 90723 |
|
1,537 |
1,510 |
$0.00 |
| 90651 |
|
134 |
132 |
$0.00 |
| 90647 |
|
1,194 |
1,173 |
$0.00 |
| 3008F |
|
1,812 |
1,709 |
$0.00 |
| 2001F |
|
1,822 |
1,712 |
$0.00 |
| 90696 |
|
100 |
100 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$0.00 |
| 0012A |
|
15 |
15 |
$0.00 |
| 0011A |
|
12 |
12 |
$0.00 |