| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
108,889 |
93,689 |
$25.12M |
| 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 |
5,049 |
3,864 |
$495K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
65,809 |
40,590 |
$383K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,359 |
16,621 |
$204K |
| 90832 |
Psychotherapy, 30 minutes with patient |
8,666 |
4,575 |
$182K |
| 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 |
757 |
500 |
$74K |
| 90791 |
Psychiatric diagnostic evaluation |
906 |
566 |
$35K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
495 |
325 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,820 |
3,383 |
$21K |
| 90834 |
Psychotherapy, 45 minutes with patient |
912 |
517 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,555 |
911 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,600 |
921 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,686 |
4,786 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,329 |
789 |
$11K |
| 92551 |
|
1,934 |
1,303 |
$8K |
| 99215 |
Prolong outpt/office vis |
721 |
392 |
$7K |
| 97811 |
|
2,460 |
1,328 |
$5K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
135 |
113 |
$5K |
| 85018 |
|
3,591 |
2,457 |
$3K |
| 97810 |
|
2,393 |
1,318 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
108 |
82 |
$2K |
| 99173 |
|
1,945 |
1,309 |
$2K |
| 99078 |
|
78 |
39 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
20 |
16 |
$2K |
| D1206 |
Topical application of fluoride varnish |
242 |
156 |
$1K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
587 |
542 |
$870.40 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
194 |
125 |
$576.86 |
| 81002 |
|
846 |
580 |
$471.93 |
| 90686 |
|
1,600 |
1,463 |
$442.24 |
| 86703 |
|
47 |
46 |
$409.04 |
| 90688 |
|
211 |
155 |
$306.00 |
| 94760 |
|
292 |
199 |
$287.63 |
| 90651 |
|
143 |
97 |
$285.15 |
| 86580 |
|
900 |
663 |
$280.70 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
57 |
39 |
$265.08 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
24 |
12 |
$258.45 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
12 |
12 |
$152.64 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
60 |
32 |
$142.05 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
24 |
16 |
$90.00 |
| 90756 |
|
12 |
12 |
$59.96 |
| 81025 |
|
170 |
112 |
$57.64 |
| 90715 |
|
35 |
33 |
$38.95 |
| 90734 |
|
30 |
27 |
$30.00 |
| 90658 |
|
15 |
12 |
$22.70 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
239 |
212 |
$15.96 |
| Z1034 |
|
325 |
257 |
$0.00 |
| 81000 |
|
129 |
129 |
$0.00 |
| 90716 |
|
39 |
36 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
25 |
25 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
39 |
39 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
32 |
27 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
738 |
471 |
$0.00 |
| 90633 |
|
47 |
26 |
$0.00 |
| 90670 |
|
66 |
40 |
$0.00 |
| 96160 |
|
23 |
21 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
65 |
65 |
$0.00 |
| 99188 |
|
42 |
42 |
$0.00 |