| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
18,785 |
16,245 |
$4.31M |
| G9012 |
Other specified case management service not elsewhere classified |
1,101 |
615 |
$387K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,170 |
440 |
$89K |
| 90837 |
Psychotherapy, 53 minutes with patient |
571 |
288 |
$71K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,777 |
7,404 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,809 |
3,383 |
$37K |
| 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 |
589 |
487 |
$30K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
540 |
276 |
$13K |
| 99215 |
Prolong outpt/office vis |
2,189 |
1,481 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
185 |
126 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,943 |
2,290 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,291 |
936 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
793 |
709 |
$627.89 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
37 |
14 |
$625.92 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
531 |
355 |
$589.29 |
| 92552 |
|
341 |
322 |
$464.32 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
156 |
105 |
$224.94 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
58 |
39 |
$140.64 |
| 82962 |
|
743 |
658 |
$124.10 |
| 92551 |
|
1,481 |
1,026 |
$107.50 |
| 90688 |
|
41 |
41 |
$35.68 |
| 11056 |
|
27 |
26 |
$25.32 |
| 90658 |
|
978 |
644 |
$22.70 |
| 99173 |
|
2,355 |
1,640 |
$5.46 |
| 90480 |
|
15 |
15 |
$0.02 |
| 90716 |
|
162 |
132 |
$0.00 |
| 90651 |
|
44 |
44 |
$0.00 |
| 94760 |
|
272 |
231 |
$0.00 |
| 86580 |
|
54 |
51 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |
| 90744 |
|
59 |
49 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
126 |
113 |
$0.00 |
| 81000 |
|
50 |
43 |
$0.00 |
| 90660 |
|
27 |
27 |
$0.00 |
| 90723 |
|
21 |
14 |
$0.00 |
| 90656 |
|
39 |
39 |
$0.00 |
| 85018 |
|
21 |
13 |
$0.00 |
| 90734 |
|
34 |
25 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
104 |
93 |
$0.00 |
| 90633 |
|
111 |
87 |
$0.00 |
| 90707 |
|
63 |
56 |
$0.00 |
| 90713 |
|
36 |
33 |
$0.00 |
| 11721 |
|
29 |
27 |
$0.00 |
| 90715 |
|
18 |
17 |
$0.00 |