| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
66,370 |
55,221 |
$13.09M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35,331 |
18,346 |
$292K |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,898 |
1,462 |
$196K |
| 90832 |
Psychotherapy, 30 minutes with patient |
8,088 |
3,046 |
$187K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,339 |
1,939 |
$148K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35,463 |
19,824 |
$80K |
| 90791 |
Psychiatric diagnostic evaluation |
1,096 |
652 |
$70K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,524 |
847 |
$66K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,925 |
837 |
$63K |
| 97803 |
|
187 |
178 |
$20K |
| 97802 |
|
109 |
107 |
$20K |
| 90686 |
|
1,571 |
1,003 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
118 |
75 |
$5K |
| H0049 |
Alcohol and/or drug screening |
846 |
845 |
$5K |
| G9012 |
Other specified case management service not elsewhere classified |
16 |
12 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
223 |
167 |
$2K |
| 90656 |
|
222 |
156 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
452 |
314 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
23 |
12 |
$1K |
| 91322 |
|
141 |
140 |
$1K |
| 90715 |
|
36 |
36 |
$1K |
| 90480 |
|
179 |
178 |
$800.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
37 |
29 |
$581.25 |
| 96156 |
|
31 |
31 |
$454.37 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
93 |
50 |
$413.40 |
| 92551 |
|
268 |
180 |
$371.70 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
113 |
112 |
$363.75 |
| 90651 |
|
12 |
12 |
$285.00 |
| 0134A |
|
28 |
26 |
$268.00 |
| 99402 |
|
15 |
15 |
$252.45 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
15 |
15 |
$235.48 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$164.49 |
| H2000 |
Comprehensive multidisciplinary evaluation |
13 |
12 |
$126.15 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$62.92 |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
24 |
12 |
$61.36 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
432 |
246 |
$56.11 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
22 |
12 |
$43.85 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
29 |
15 |
$37.39 |
| 81002 |
|
115 |
66 |
$32.13 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
17 |
13 |
$29.24 |
| G9920 |
Screening performed and negative |
16 |
15 |
$29.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
672 |
663 |
$13.38 |
| 85018 |
|
44 |
30 |
$4.14 |
| 81000 |
|
26 |
26 |
$2.58 |
| Z1034 |
|
2,261 |
1,945 |
$0.00 |
| 99460 |
|
65 |
65 |
$0.00 |
| 99441 |
|
47 |
38 |
$0.00 |
| 99443 |
|
27 |
26 |
$0.00 |
| Z6402 |
|
17 |
16 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
72 |
70 |
$0.00 |
| 99442 |
|
235 |
200 |
$0.00 |
| 99173 |
|
88 |
88 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
58 |
27 |
$0.00 |
| 91313 |
|
12 |
12 |
$0.00 |
| Z6400 |
|
17 |
16 |
$0.00 |
| Z6300 |
|
17 |
16 |
$0.00 |