| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
50,189 |
40,770 |
$8.42M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,079 |
20,178 |
$1.19M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,085 |
4,835 |
$342K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,899 |
1,561 |
$126K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,186 |
1,112 |
$65K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
575 |
528 |
$44K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
424 |
415 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
516 |
490 |
$34K |
| 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 |
802 |
765 |
$27K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
326 |
324 |
$24K |
| 90791 |
Psychiatric diagnostic evaluation |
112 |
111 |
$15K |
| D0999 |
Unspecified diagnostic procedure, by report |
199 |
191 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
212 |
207 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
244 |
243 |
$11K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
13 |
13 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
53 |
48 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
77 |
72 |
$5K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
33 |
32 |
$4K |
| 99381 |
|
26 |
26 |
$4K |
| 90686 |
|
1,377 |
1,345 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
46 |
26 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
15 |
15 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
952 |
427 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
563 |
508 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
21 |
20 |
$417.69 |
| 90671 |
|
57 |
55 |
$231.94 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
338 |
321 |
$139.30 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$125.10 |
| 81002 |
|
92 |
89 |
$105.12 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
25 |
24 |
$54.96 |
| 96161 |
|
246 |
234 |
$38.25 |
| 92551 |
|
210 |
210 |
$19.08 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
75 |
73 |
$0.07 |
| 3080F |
|
845 |
809 |
$0.00 |
| 1036F |
|
958 |
902 |
$0.00 |
| 96127 |
|
235 |
224 |
$0.00 |
| 1034F |
|
536 |
514 |
$0.00 |
| 3074F |
|
3,430 |
3,155 |
$0.00 |
| 1000F |
|
255 |
242 |
$0.00 |
| 3079F |
|
1,467 |
1,405 |
$0.00 |
| 1220F |
|
1,641 |
1,438 |
$0.00 |
| 3075F |
|
920 |
887 |
$0.00 |
| 4000F |
|
186 |
184 |
$0.00 |
| 1111F |
|
100 |
93 |
$0.00 |
| 1125F |
|
444 |
427 |
$0.00 |
| 90716 |
|
30 |
30 |
$0.00 |
| 1126F |
|
18 |
17 |
$0.00 |
| 99173 |
|
193 |
193 |
$0.00 |
| 1160F |
|
4,435 |
4,098 |
$0.00 |
| 3078F |
|
3,104 |
2,844 |
$0.00 |
| 90648 |
|
26 |
26 |
$0.00 |
| 1159F |
|
3,027 |
2,756 |
$0.00 |
| 99051 |
|
879 |
805 |
$0.00 |
| 90685 |
|
175 |
174 |
$0.00 |
| 4004F |
|
39 |
35 |
$0.00 |
| 90461 |
|
361 |
101 |
$0.00 |
| 3077F |
|
1,127 |
1,075 |
$0.00 |
| 90707 |
|
27 |
27 |
$0.00 |
| 90670 |
|
112 |
112 |
$0.00 |
| 90633 |
|
28 |
28 |
$0.00 |
| 90672 |
|
30 |
30 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16 |
12 |
$0.00 |