| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
102,089 |
95,017 |
$23.11M |
| 00003 |
Internal/system code - not a standard HCPCS code |
11,264 |
9,792 |
$3.11M |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,692 |
926 |
$39K |
| 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 |
1,060 |
877 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,611 |
35,292 |
$25K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,307 |
1,977 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,279 |
4,149 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,344 |
10,034 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
100 |
100 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
206 |
203 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
190 |
123 |
$2K |
| 0002A |
|
17 |
17 |
$1K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
53 |
26 |
$1K |
| 0001A |
|
15 |
14 |
$971.50 |
| 92551 |
|
400 |
398 |
$747.32 |
| 99460 |
|
564 |
494 |
$452.32 |
| 85018 |
|
162 |
162 |
$295.20 |
| 90686 |
|
1,204 |
1,198 |
$200.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
73 |
71 |
$163.05 |
| 90670 |
|
16 |
16 |
$144.00 |
| 99462 |
|
422 |
326 |
$132.08 |
| 90633 |
|
14 |
14 |
$126.00 |
| 90647 |
|
13 |
13 |
$117.00 |
| 96127 |
|
319 |
275 |
$38.00 |
| 90661 |
|
105 |
104 |
$29.48 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
13 |
13 |
$21.07 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
455 |
455 |
$19.80 |
| 99173 |
|
424 |
412 |
$8.06 |
| 82948 |
|
1,632 |
1,577 |
$8.04 |
| 1036F |
|
1,877 |
1,783 |
$0.00 |
| 3008F |
|
2,913 |
2,823 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
544 |
537 |
$0.00 |
| 3074F |
|
1,917 |
1,854 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
109 |
108 |
$0.00 |
| 3075F |
|
29 |
29 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
15 |
$0.00 |
| 90674 |
|
43 |
43 |
$0.00 |
| 90656 |
|
17 |
16 |
$0.00 |
| 3079F |
|
70 |
69 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
22 |
$0.00 |
| 90677 |
|
21 |
20 |
$0.00 |
| 97802 |
|
29 |
29 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
15 |
15 |
$0.00 |
| 99000 |
|
12 |
12 |
$0.00 |
| 99384 |
|
15 |
15 |
$0.00 |
| 1159F |
|
1,476 |
1,415 |
$0.00 |
| 3725F |
|
421 |
404 |
$0.00 |
| 3078F |
|
1,817 |
1,763 |
$0.00 |
| 90662 |
|
29 |
29 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
211 |
206 |
$0.00 |
| 1160F |
|
1,129 |
1,070 |
$0.00 |
| 90461 |
|
54 |
54 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
56 |
55 |
$0.00 |
| 90750 |
|
26 |
26 |
$0.00 |
| 92081 |
|
16 |
15 |
$0.00 |
| 3077F |
|
25 |
25 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$0.00 |
| 99401 |
|
29 |
29 |
$0.00 |
| 81002 |
|
32 |
30 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
27 |
26 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
14 |
$0.00 |