| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
87,146 |
76,097 |
$23.51M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
84,633 |
52,955 |
$320K |
| J3490 |
Unclassified drugs |
771 |
617 |
$64K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,665 |
1,880 |
$49K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,346 |
5,542 |
$36K |
| 90715 |
|
646 |
572 |
$23K |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,198 |
1,715 |
$20K |
| 90732 |
|
179 |
163 |
$15K |
| 0012A |
|
199 |
199 |
$13K |
| 97802 |
|
137 |
133 |
$12K |
| 0011A |
|
171 |
171 |
$11K |
| 0002A |
|
157 |
157 |
$11K |
| 0001A |
|
153 |
153 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,317 |
11,793 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
623 |
393 |
$7K |
| 90791 |
Psychiatric diagnostic evaluation |
1,307 |
892 |
$6K |
| A4267 |
Contraceptive supply, condom, male, each |
765 |
747 |
$5K |
| 81025 |
|
3,212 |
3,153 |
$4K |
| 99000 |
|
12,473 |
11,973 |
$3K |
| 0031A |
|
38 |
38 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,885 |
1,342 |
$2K |
| 90688 |
|
185 |
185 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
40,890 |
37,060 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
851 |
579 |
$1K |
| 99401 |
|
216 |
209 |
$986.87 |
| 0124A |
|
13 |
13 |
$871.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
1,051 |
1,048 |
$824.04 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
756 |
527 |
$738.78 |
| 90686 |
|
71 |
71 |
$661.91 |
| 90677 |
|
179 |
178 |
$580.38 |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
24 |
13 |
$580.02 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
281 |
264 |
$335.03 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
229 |
125 |
$306.64 |
| 90832 |
Psychotherapy, 30 minutes with patient |
350 |
299 |
$241.40 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,420 |
3,384 |
$152.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,931 |
3,876 |
$132.00 |
| 81003 |
|
1,728 |
1,683 |
$117.30 |
| 99201 |
|
68 |
61 |
$114.27 |
| 90656 |
|
39 |
39 |
$86.22 |
| 85018 |
|
1,220 |
1,211 |
$61.91 |
| 87428 |
|
194 |
179 |
$46.41 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
14 |
14 |
$40.97 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
60 |
46 |
$34.69 |
| H0049 |
Alcohol and/or drug screening |
19,399 |
17,800 |
$17.14 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$16.00 |
| 90651 |
|
12 |
12 |
$9.90 |
| 90710 |
|
13 |
13 |
$9.90 |
| 99173 |
|
662 |
657 |
$6.82 |
| 86580 |
|
13 |
13 |
$3.36 |
| 82962 |
|
40 |
38 |
$1.98 |
| 3075F |
|
3,009 |
2,896 |
$0.00 |
| 3080F |
|
2,231 |
2,117 |
$0.00 |
| 3044F |
|
592 |
576 |
$0.00 |
| 3079F |
|
6,192 |
5,938 |
$0.00 |
| 3074F |
|
12,080 |
11,323 |
$0.00 |
| 99385 |
|
22 |
15 |
$0.00 |
| G9012 |
Other specified case management service not elsewhere classified |
2,276 |
1,683 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
2,834 |
2,076 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
110 |
109 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
70 |
70 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
12 |
12 |
$0.00 |
| 3052F |
|
31 |
31 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
14 |
14 |
$0.00 |
| 3077F |
|
3,050 |
2,920 |
$0.00 |
| 3078F |
|
9,942 |
9,318 |
$0.00 |
| 3046F |
|
298 |
288 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
226 |
218 |
$0.00 |
| 96160 |
|
1,135 |
1,132 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
672 |
654 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
168 |
161 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
329 |
205 |
$0.00 |
| 3051F |
|
142 |
138 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
27 |
26 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
52 |
40 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
66 |
52 |
$0.00 |
| 90734 |
|
17 |
17 |
$0.00 |
| 90633 |
|
39 |
39 |
$0.00 |
| 90672 |
|
20 |
18 |
$0.00 |
| 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 |
15 |
12 |
$0.00 |