| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
94,514 |
69,114 |
$16.56M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,397 |
23,712 |
$1.70M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,005 |
10,691 |
$732K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,117 |
980 |
$110K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
978 |
853 |
$45K |
| 99215 |
Prolong outpt/office vis |
772 |
673 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
256 |
240 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
242 |
226 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
194 |
185 |
$16K |
| 0012A |
|
369 |
344 |
$12K |
| 0011A |
|
385 |
305 |
$11K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
787 |
442 |
$11K |
| 3074F |
|
2,489 |
1,863 |
$11K |
| 99205 |
Prolong outpt/office vis |
228 |
166 |
$9K |
| 3078F |
|
1,481 |
1,126 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
126 |
114 |
$5K |
| 99385 |
|
92 |
82 |
$5K |
| G0008 |
Administration of influenza virus vaccine |
220 |
218 |
$3K |
| 3079F |
|
724 |
564 |
$3K |
| 90686 |
|
1,246 |
1,171 |
$2K |
| 11721 |
|
208 |
197 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
61 |
58 |
$1K |
| 99386 |
|
27 |
24 |
$889.43 |
| 90837 |
Psychotherapy, 53 minutes with patient |
24 |
12 |
$852.72 |
| 99173 |
|
1,064 |
977 |
$673.40 |
| 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 |
8,404 |
6,747 |
$561.40 |
| 0064A |
|
14 |
14 |
$440.00 |
| 0002A |
|
17 |
12 |
$388.39 |
| 11056 |
|
40 |
37 |
$380.93 |
| 0001A |
|
22 |
13 |
$360.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
34 |
30 |
$259.80 |
| 3077F |
|
92 |
62 |
$190.00 |
| 90694 |
|
18 |
18 |
$106.59 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
383 |
373 |
$97.46 |
| 3008F |
|
2,801 |
2,200 |
$55.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,337 |
1,283 |
$51.52 |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
639 |
351 |
$36.17 |
| 90662 |
|
13 |
12 |
$33.99 |
| 3075F |
|
32 |
30 |
$20.00 |
| 92551 |
|
785 |
740 |
$19.44 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
90 |
69 |
$15.03 |
| 2001F |
|
1,318 |
863 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90647 |
|
45 |
45 |
$0.00 |
| 90651 |
|
124 |
113 |
$0.00 |
| 91301 |
|
773 |
708 |
$0.00 |
| T1050 |
|
310 |
267 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
24 |
24 |
$0.00 |
| 90480 |
|
17 |
17 |
$0.00 |
| 90620 |
|
86 |
78 |
$0.00 |
| 90656 |
|
73 |
72 |
$0.00 |
| 0134A |
|
31 |
29 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$0.00 |
| 91306 |
|
14 |
12 |
$0.00 |
| 3080F |
|
17 |
15 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
319 |
310 |
$0.00 |
| 91313 |
|
29 |
28 |
$0.00 |
| 81003 |
|
40 |
40 |
$0.00 |
| 90633 |
|
97 |
93 |
$0.00 |
| 90670 |
|
55 |
55 |
$0.00 |
| 91300 |
|
47 |
27 |
$0.00 |
| 90734 |
|
28 |
27 |
$0.00 |
| 87400 |
|
40 |
32 |
$0.00 |
| 92552 |
|
102 |
85 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
12 |
$0.00 |
| 90715 |
|
28 |
28 |
$0.00 |
| 91322 |
|
15 |
15 |
$0.00 |