| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
75,843 |
64,173 |
$15.57M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40,027 |
34,999 |
$1.41M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,780 |
6,658 |
$572K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,795 |
5,776 |
$439K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,099 |
4,085 |
$329K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,997 |
2,966 |
$248K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
25,823 |
11,386 |
$172K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,371 |
4,199 |
$135K |
| 99381 |
|
1,074 |
1,066 |
$112K |
| 87428 |
|
3,218 |
3,050 |
$99K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,584 |
3,231 |
$80K |
| 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 |
2,220 |
1,971 |
$74K |
| 90619 |
|
873 |
869 |
$70K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,042 |
2,928 |
$53K |
| 90837 |
Psychotherapy, 53 minutes with patient |
597 |
463 |
$49K |
| 90461 |
|
5,947 |
5,041 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,377 |
3,221 |
$21K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
556 |
519 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
943 |
892 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
170 |
163 |
$8K |
| 87807 |
|
802 |
761 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
850 |
845 |
$5K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
344 |
344 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
47 |
45 |
$3K |
| 90620 |
|
33 |
32 |
$3K |
| 99460 |
|
36 |
36 |
$3K |
| 0001A |
|
57 |
57 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
89 |
78 |
$2K |
| 0071A |
|
83 |
83 |
$2K |
| 0002A |
|
42 |
42 |
$1K |
| 81003 |
|
1,103 |
1,032 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
195 |
172 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,293 |
3,259 |
$1K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
13 |
13 |
$926.72 |
| 0072A |
|
63 |
63 |
$760.00 |
| CP002 |
|
67 |
54 |
$655.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
79 |
77 |
$552.92 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,976 |
2,128 |
$384.62 |
| 90686 |
|
3,712 |
3,658 |
$381.29 |
| 81025 |
|
66 |
59 |
$347.04 |
| 90715 |
|
990 |
985 |
$287.41 |
| 90633 |
|
2,699 |
2,677 |
$267.99 |
| 90696 |
|
973 |
967 |
$205.99 |
| 90710 |
|
1,138 |
1,132 |
$205.99 |
| 90651 |
|
1,791 |
1,775 |
$154.54 |
| 99406 |
|
259 |
234 |
$90.70 |
| 90670 |
|
3,567 |
3,544 |
$73.52 |
| 90682 |
|
15 |
12 |
$54.58 |
| 99407 |
|
38 |
37 |
$43.64 |
| 90656 |
|
486 |
483 |
$34.94 |
| 88720 |
|
31 |
27 |
$21.10 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$13.78 |
| 90474 |
|
919 |
911 |
$10.38 |
| 92551 |
|
204 |
203 |
$10.10 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
615 |
553 |
$0.01 |
| 90697 |
|
1,237 |
1,233 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
200 |
182 |
$0.00 |
| 90680 |
|
3,282 |
3,263 |
$0.00 |
| 90723 |
|
1,212 |
1,203 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
128 |
114 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
43 |
43 |
$0.00 |
| 90716 |
|
1,292 |
1,278 |
$0.00 |
| 90698 |
|
2,370 |
2,360 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,589 |
1,503 |
$0.00 |
| 90744 |
|
433 |
431 |
$0.00 |
| 36416 |
|
528 |
527 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
256 |
220 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
667 |
598 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
299 |
257 |
$0.00 |
| 90381 |
|
122 |
122 |
$0.00 |
| 90648 |
|
1,664 |
1,654 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
350 |
347 |
$0.00 |
| 90734 |
|
715 |
710 |
$0.00 |
| 90707 |
|
1,285 |
1,271 |
$0.00 |
| 90671 |
|
1,811 |
1,810 |
$0.00 |
| 90714 |
|
45 |
44 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
619 |
525 |
$0.00 |
| 90380 |
|
115 |
115 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
756 |
654 |
$0.00 |
| 99173 |
|
204 |
203 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
432 |
374 |
$0.00 |
| 90700 |
|
386 |
385 |
$0.00 |
| 90681 |
|
250 |
250 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
90 |
76 |
$0.00 |
| 91300 |
|
78 |
68 |
$0.00 |
| 90672 |
|
262 |
262 |
$0.00 |