| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
131,019 |
102,192 |
$14.81M |
| H1000 |
Prenatal care, at-risk assessment |
837 |
662 |
$48K |
| G9357 |
Post-partum screenings, evaluations and education performed |
421 |
331 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42,556 |
35,064 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,335 |
21,617 |
$9K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,554 |
934 |
$8K |
| 90686 |
|
270 |
251 |
$3K |
| 90670 |
|
65 |
64 |
$2K |
| 90715 |
|
69 |
61 |
$2K |
| 90651 |
|
52 |
49 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
244 |
186 |
$1K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,748 |
1,645 |
$993.08 |
| 90658 |
|
90 |
82 |
$921.28 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,981 |
1,778 |
$833.23 |
| 90671 |
|
16 |
15 |
$826.60 |
| 90710 |
|
34 |
32 |
$758.00 |
| 90734 |
|
27 |
25 |
$712.94 |
| 90619 |
|
12 |
12 |
$540.33 |
| 90791 |
Psychiatric diagnostic evaluation |
185 |
153 |
$524.00 |
| 90696 |
|
28 |
26 |
$346.08 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,903 |
2,664 |
$296.62 |
| 92551 |
|
4,245 |
3,844 |
$233.14 |
| 90633 |
|
25 |
25 |
$226.85 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,831 |
3,501 |
$193.56 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,217 |
2,920 |
$192.93 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,842 |
1,558 |
$111.20 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,903 |
2,606 |
$70.65 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,528 |
2,625 |
$59.15 |
| 90832 |
Psychotherapy, 30 minutes with patient |
970 |
773 |
$48.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,572 |
6,207 |
$37.80 |
| 99173 |
|
5,706 |
5,219 |
$26.75 |
| 81025 |
|
2,861 |
2,475 |
$26.00 |
| 81002 |
|
552 |
480 |
$10.44 |
| 81003 |
|
149 |
136 |
$4.60 |
| 96130 |
|
2,514 |
1,927 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,918 |
2,572 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
13 |
$0.00 |
| 92015 |
Determination of refractive state |
200 |
191 |
$0.00 |
| 87420 |
|
72 |
68 |
$0.00 |
| 97803 |
|
31 |
31 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
80 |
74 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
134 |
104 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
25 |
25 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
33 |
28 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
23 |
14 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
32 |
27 |
$0.00 |
| 74018 |
|
13 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
54 |
52 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
27 |
$0.00 |
| 90473 |
|
19 |
19 |
$0.00 |
| 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 |
1,801 |
1,568 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
500 |
457 |
$0.00 |
| 81000 |
|
32 |
26 |
$0.00 |
| 87807 |
|
158 |
152 |
$0.00 |
| 99406 |
|
179 |
161 |
$0.00 |
| 76801 |
|
53 |
50 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
90 |
83 |
$0.00 |
| 99241 |
|
31 |
28 |
$0.00 |
| 86580 |
|
205 |
199 |
$0.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
100 |
86 |
$0.00 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
92 |
41 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
115 |
108 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
35 |
27 |
$0.00 |
| 96127 |
|
58 |
55 |
$0.00 |
| 90656 |
|
14 |
14 |
$0.00 |
| 99384 |
|
12 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
26 |
24 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
12 |
$0.00 |
| 97802 |
|
20 |
17 |
$0.00 |