| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
59,952 |
51,183 |
$10.93M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,792 |
19,371 |
$80K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,539 |
1,468 |
$23K |
| 98940 |
|
3,552 |
2,562 |
$11K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
3,010 |
2,226 |
$9K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
511 |
437 |
$8K |
| G9920 |
Screening performed and negative |
1,560 |
1,530 |
$7K |
| 0001A |
|
102 |
102 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
294 |
294 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,438 |
6,134 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,843 |
6,465 |
$4K |
| J3490 |
Unclassified drugs |
85 |
45 |
$4K |
| 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 |
107 |
97 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
496 |
302 |
$3K |
| 99401 |
|
171 |
161 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
279 |
220 |
$3K |
| 86703 |
|
680 |
676 |
$2K |
| 0002A |
|
21 |
21 |
$1K |
| 81025 |
|
627 |
618 |
$1K |
| 0031A |
|
13 |
13 |
$871.00 |
| 0124A |
|
13 |
13 |
$871.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
464 |
289 |
$655.04 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
55 |
55 |
$405.30 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
31 |
31 |
$394.32 |
| A4267 |
Contraceptive supply, condom, male, each |
33 |
33 |
$305.25 |
| 81002 |
|
735 |
709 |
$30.96 |
| Z6410 |
|
521 |
475 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
4,502 |
4,441 |
$0.00 |
| 92250 |
|
1,429 |
1,426 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
932 |
921 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
438 |
437 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
896 |
887 |
$0.00 |
| 90656 |
|
101 |
101 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
51 |
51 |
$0.00 |
| 87650 |
|
28 |
28 |
$0.00 |
| Z1034 |
|
82 |
77 |
$0.00 |
| 3074F |
|
301 |
292 |
$0.00 |
| Z6204 |
|
147 |
125 |
$0.00 |
| Z6402 |
|
105 |
101 |
$0.00 |
| Z6406 |
|
274 |
267 |
$0.00 |
| 90686 |
|
349 |
349 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
457 |
450 |
$0.00 |
| 3079F |
|
27 |
27 |
$0.00 |
| 1123F |
|
89 |
89 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
26 |
24 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
14 |
$0.00 |
| 92015 |
Determination of refractive state |
1,641 |
1,619 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
280 |
277 |
$0.00 |
| 1158F |
|
89 |
89 |
$0.00 |
| 99397 |
|
14 |
14 |
$0.00 |
| 1159F |
|
1,360 |
1,266 |
$0.00 |
| 96160 |
|
5,145 |
5,121 |
$0.00 |
| Z6400 |
|
510 |
486 |
$0.00 |
| 1160F |
|
246 |
219 |
$0.00 |
| Z6414 |
|
78 |
77 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
428 |
388 |
$0.00 |
| 3078F |
|
189 |
185 |
$0.00 |
| 82947 |
|
524 |
510 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
46 |
43 |
$0.00 |
| G0117 |
Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist |
12 |
12 |
$0.00 |
| 99201 |
|
28 |
28 |
$0.00 |
| 90715 |
|
30 |
30 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
34 |
34 |
$0.00 |
| M1016 |
Female patients unable to bear children |
49 |
47 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
25 |
25 |
$0.00 |