| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
31,423 |
22,969 |
$2.47M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,537 |
13,258 |
$500K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,835 |
5,318 |
$314K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,712 |
996 |
$76K |
| 90670 |
|
845 |
544 |
$66K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,490 |
881 |
$50K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,889 |
1,034 |
$50K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,088 |
2,735 |
$43K |
| 99442 |
|
3,908 |
2,014 |
$42K |
| 90832 |
Psychotherapy, 30 minutes with patient |
807 |
342 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
919 |
543 |
$13K |
| 90674 |
|
984 |
574 |
$9K |
| 90686 |
|
955 |
656 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
953 |
646 |
$8K |
| 90671 |
|
64 |
48 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
151 |
92 |
$5K |
| 90647 |
|
506 |
320 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
102 |
59 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,015 |
652 |
$3K |
| 90723 |
|
543 |
352 |
$3K |
| 90661 |
|
189 |
181 |
$3K |
| 99215 |
Prolong outpt/office vis |
74 |
40 |
$3K |
| H1000 |
Prenatal care, at-risk assessment |
60 |
29 |
$3K |
| 91322 |
|
36 |
28 |
$3K |
| 90480 |
|
90 |
79 |
$2K |
| 90633 |
|
119 |
66 |
$2K |
| T2003 |
Non-emergency transportation; encounter/trip |
142 |
65 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
44 |
25 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
29 |
14 |
$1K |
| 99441 |
|
215 |
112 |
$1K |
| 90677 |
|
16 |
15 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
23 |
14 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
84 |
52 |
$959.75 |
| 0064A |
|
31 |
27 |
$816.54 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
105 |
43 |
$814.55 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
27 |
14 |
$797.40 |
| 85018 |
|
991 |
581 |
$700.33 |
| 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 |
56 |
53 |
$677.70 |
| 82962 |
|
603 |
378 |
$670.63 |
| 90461 |
|
4,040 |
1,330 |
$605.00 |
| 0002A |
|
13 |
12 |
$437.54 |
| 59025 |
Fetal non-stress test |
27 |
13 |
$371.76 |
| 90681 |
|
103 |
64 |
$266.05 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
38 |
17 |
$210.80 |
| 90473 |
|
60 |
37 |
$122.65 |
| 99422 |
|
29 |
12 |
$96.08 |
| 81003 |
|
20 |
12 |
$18.67 |
| 91300 |
|
56 |
40 |
$0.31 |
| 3078F |
|
14,420 |
9,408 |
$0.00 |
| 3077F |
|
165 |
135 |
$0.00 |
| 81025 |
|
35 |
25 |
$0.00 |
| 3074F |
|
13,112 |
10,248 |
$0.00 |
| 3079F |
|
1,689 |
1,187 |
$0.00 |
| 3008F |
|
13,981 |
7,564 |
$0.00 |
| 3044F |
|
180 |
161 |
$0.00 |
| 3075F |
|
229 |
195 |
$0.00 |
| 91306 |
|
31 |
28 |
$0.00 |
| 90697 |
|
32 |
27 |
$0.00 |