| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
45,592 |
34,590 |
$6.43M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,479 |
9,099 |
$48K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,228 |
13,611 |
$39K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15,493 |
9,262 |
$21K |
| 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 |
1,426 |
907 |
$13K |
| 0011A |
|
514 |
328 |
$10K |
| 0012A |
|
397 |
302 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
6,943 |
5,247 |
$6K |
| 0002A |
|
193 |
166 |
$5K |
| 0001A |
|
180 |
158 |
$4K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
695 |
454 |
$4K |
| 0013A |
|
113 |
110 |
$4K |
| 0003A |
|
110 |
107 |
$4K |
| 99000 |
|
7,831 |
5,617 |
$4K |
| 99386 |
|
125 |
99 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
424 |
262 |
$3K |
| 99385 |
|
220 |
160 |
$3K |
| 90686 |
|
289 |
231 |
$2K |
| G9920 |
Screening performed and negative |
579 |
364 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
235 |
155 |
$1K |
| 90715 |
|
75 |
64 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
159 |
139 |
$983.01 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
59 |
43 |
$470.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
717 |
564 |
$458.36 |
| 92551 |
|
404 |
279 |
$383.90 |
| 90688 |
|
32 |
28 |
$354.45 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
255 |
180 |
$351.91 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
83 |
55 |
$252.58 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
71 |
51 |
$223.19 |
| 0124A |
|
14 |
14 |
$220.75 |
| 90656 |
|
34 |
32 |
$206.74 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
65 |
43 |
$206.70 |
| 0134A |
|
13 |
12 |
$187.25 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
177 |
157 |
$119.97 |
| 90756 |
|
56 |
44 |
$108.50 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
18 |
12 |
$74.78 |
| 88143 |
|
12 |
12 |
$59.02 |
| 85018 |
|
83 |
54 |
$20.70 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
59 |
44 |
$9.90 |
| M1016 |
Female patients unable to bear children |
1,911 |
1,241 |
$0.12 |
| 99173 |
|
435 |
302 |
$0.00 |
| 3078F |
|
5,158 |
3,268 |
$0.00 |
| 3077F |
|
1,212 |
830 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
77 |
62 |
$0.00 |
| 81002 |
|
43 |
35 |
$0.00 |
| 1159F |
|
145 |
102 |
$0.00 |
| 90461 |
|
20 |
12 |
$0.00 |
| 3080F |
|
728 |
478 |
$0.00 |
| 3075F |
|
1,200 |
847 |
$0.00 |
| 3079F |
|
2,097 |
1,414 |
$0.00 |
| 3074F |
|
5,592 |
3,478 |
$0.00 |
| 1126F |
|
6,951 |
4,283 |
$0.00 |
| 1125F |
|
433 |
311 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
82 |
60 |
$0.00 |
| Z1034 |
|
140 |
108 |
$0.00 |
| 91301 |
|
35 |
32 |
$0.00 |
| 88738 |
|
76 |
56 |
$0.00 |