| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
25,204 |
21,214 |
$2.95M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,463 |
11,908 |
$84K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,872 |
1,666 |
$37K |
| 90832 |
Psychotherapy, 30 minutes with patient |
868 |
628 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,712 |
7,727 |
$10K |
| 90791 |
Psychiatric diagnostic evaluation |
221 |
177 |
$8K |
| 90834 |
Psychotherapy, 45 minutes with patient |
252 |
194 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
98 |
92 |
$4K |
| 92551 |
|
1,157 |
1,148 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
201 |
201 |
$3K |
| 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 |
81 |
67 |
$3K |
| 90686 |
|
861 |
851 |
$2K |
| 0012A |
|
53 |
36 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
102 |
102 |
$1K |
| 99173 |
|
1,222 |
1,218 |
$820.04 |
| S9452 |
Nutrition classes, non-physician provider, per session |
27 |
24 |
$810.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$682.15 |
| 85018 |
|
819 |
816 |
$681.40 |
| 0011A |
|
24 |
24 |
$360.00 |
| 81000 |
|
214 |
203 |
$307.98 |
| 82948 |
|
262 |
256 |
$230.08 |
| 90670 |
|
190 |
189 |
$189.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
54 |
52 |
$162.25 |
| 90649 |
|
80 |
80 |
$153.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
12 |
$37.37 |
| 81025 |
|
12 |
12 |
$18.64 |
| 81002 |
|
78 |
74 |
$17.62 |
| 99000 |
|
88 |
87 |
$3.63 |
| 3075F |
|
88 |
84 |
$0.00 |
| 96156 |
|
2,338 |
2,320 |
$0.00 |
| 3074F |
|
6,557 |
5,954 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
195 |
193 |
$0.00 |
| 3079F |
|
905 |
855 |
$0.00 |
| 90723 |
|
69 |
69 |
$0.00 |
| 96127 |
|
1,251 |
1,200 |
$0.00 |
| 85013 |
|
441 |
438 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
70 |
54 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
722 |
509 |
$0.00 |
| 82962 |
|
82 |
78 |
$0.00 |
| 90674 |
|
29 |
29 |
$0.00 |
| 90647 |
|
105 |
103 |
$0.00 |
| 86580 |
|
24 |
24 |
$0.00 |
| 99383 |
|
12 |
12 |
$0.00 |
| 3078F |
|
6,219 |
5,652 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
256 |
256 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
215 |
214 |
$0.00 |
| 3077F |
|
46 |
43 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
310 |
138 |
$0.00 |
| 90633 |
|
67 |
65 |
$0.00 |
| 99382 |
|
12 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
115 |
76 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
50 |
49 |
$0.00 |
| 83026 |
|
69 |
69 |
$0.00 |
| 90461 |
|
35 |
30 |
$0.00 |