| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
56,831 |
39,736 |
$3.73M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
53,125 |
27,876 |
$1.04M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,127 |
2,863 |
$142K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,650 |
3,581 |
$85K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,157 |
816 |
$57K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,421 |
487 |
$45K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,670 |
1,668 |
$38K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,825 |
564 |
$26K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
7,053 |
4,166 |
$22K |
| 81002 |
|
19,941 |
8,943 |
$19K |
| 76801 |
|
486 |
246 |
$15K |
| 81025 |
|
3,421 |
2,066 |
$12K |
| H1000 |
Prenatal care, at-risk assessment |
266 |
133 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,781 |
1,049 |
$12K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
268 |
190 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
885 |
768 |
$10K |
| 90686 |
|
2,068 |
1,162 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
545 |
364 |
$10K |
| 36416 |
|
7,073 |
4,169 |
$8K |
| 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 |
443 |
348 |
$7K |
| 59430 |
|
174 |
115 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
156 |
94 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
450 |
317 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
188 |
125 |
$4K |
| 0012A |
|
132 |
119 |
$3K |
| 0011A |
|
99 |
94 |
$3K |
| 99442 |
|
255 |
105 |
$2K |
| 99385 |
|
132 |
111 |
$2K |
| 97803 |
|
101 |
66 |
$2K |
| 90707 |
|
141 |
110 |
$2K |
| 90715 |
|
211 |
183 |
$1K |
| 99215 |
Prolong outpt/office vis |
49 |
31 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
75 |
50 |
$1K |
| 99051 |
|
129 |
62 |
$1K |
| 92551 |
|
316 |
188 |
$955.31 |
| 99386 |
|
34 |
25 |
$901.40 |
| 99173 |
|
873 |
617 |
$856.84 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
55 |
37 |
$804.36 |
| 96127 |
|
371 |
243 |
$762.72 |
| 0072A |
|
19 |
18 |
$683.64 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
23 |
12 |
$627.64 |
| 90670 |
|
343 |
234 |
$602.86 |
| 0071A |
|
15 |
14 |
$531.72 |
| 97802 |
|
20 |
13 |
$493.92 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
79 |
69 |
$431.14 |
| 90746 |
|
153 |
110 |
$356.83 |
| 82962 |
|
288 |
142 |
$257.58 |
| 99441 |
|
38 |
15 |
$127.12 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
18 |
16 |
$77.86 |
| 90656 |
|
13 |
13 |
$44.70 |
| 91301 |
|
291 |
266 |
$2.14 |
| 91307 |
|
34 |
32 |
$0.32 |
| 3044F |
|
460 |
273 |
$0.18 |
| 3046F |
|
101 |
51 |
$0.09 |
| 3078F |
|
127 |
72 |
$0.07 |
| 3080F |
|
98 |
55 |
$0.04 |
| 3074F |
|
78 |
42 |
$0.01 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,532 |
1,465 |
$0.00 |
| 90647 |
|
70 |
54 |
$0.00 |
| 99000 |
|
505 |
466 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
36 |
30 |
$0.00 |
| 3008F |
|
106 |
50 |
$0.00 |
| 1036F |
|
79 |
50 |
$0.00 |
| 90744 |
|
53 |
32 |
$0.00 |
| 3079F |
|
64 |
42 |
$0.00 |
| 90723 |
|
17 |
15 |
$0.00 |
| 90716 |
|
68 |
44 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
262 |
163 |
$0.00 |
| 99071 |
|
1,799 |
954 |
$0.00 |
| 3077F |
|
254 |
169 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
2,212 |
1,278 |
$0.00 |
| 4004F |
|
48 |
25 |
$0.00 |
| 2028F |
|
180 |
95 |
$0.00 |
| 3045F |
|
13 |
12 |
$0.00 |
| 90681 |
|
14 |
12 |
$0.00 |
| 98968 |
|
25 |
13 |
$0.00 |