| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
38,095 |
31,263 |
$8.87M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,368 |
14,978 |
$242K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,501 |
9,846 |
$214K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,728 |
2,024 |
$52K |
| G0008 |
Administration of influenza virus vaccine |
3,453 |
3,417 |
$36K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,700 |
1,313 |
$23K |
| 90686 |
|
3,347 |
3,308 |
$18K |
| 99215 |
Prolong outpt/office vis |
1,131 |
1,077 |
$18K |
| G0009 |
Administration of pneumococcal vaccine |
1,561 |
1,543 |
$16K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
92 |
75 |
$13K |
| 90677 |
|
323 |
315 |
$12K |
| 91320 |
|
89 |
87 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
690 |
642 |
$9K |
| 90656 |
|
275 |
273 |
$8K |
| 90480 |
|
212 |
210 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
290 |
284 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
465 |
452 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,219 |
2,202 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,907 |
2,857 |
$4K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
591 |
562 |
$3K |
| 0124A |
|
72 |
71 |
$3K |
| 0134A |
|
68 |
68 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,404 |
2,380 |
$2K |
| 90670 |
|
1,151 |
1,142 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
15 |
14 |
$1K |
| 0064A |
|
91 |
89 |
$1K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,142 |
1,082 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,440 |
1,433 |
$1K |
| 0054A |
|
35 |
35 |
$1K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
90 |
78 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,803 |
2,783 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,073 |
2,014 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
280 |
274 |
$1K |
| 0112A |
|
25 |
25 |
$887.52 |
| 90474 |
|
663 |
655 |
$844.11 |
| 0111A |
|
26 |
26 |
$776.58 |
| 90715 |
|
374 |
370 |
$723.76 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
176 |
172 |
$656.95 |
| 99188 |
|
281 |
277 |
$642.65 |
| 99350 |
Prolong home eval add 15m |
12 |
12 |
$608.59 |
| 90685 |
|
48 |
48 |
$545.10 |
| 0154A |
|
12 |
12 |
$443.76 |
| 90680 |
|
633 |
633 |
$434.75 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
15 |
$425.44 |
| 90619 |
|
93 |
93 |
$269.00 |
| 0071A |
|
48 |
47 |
$223.43 |
| 90651 |
|
362 |
362 |
$184.43 |
| 90710 |
|
131 |
131 |
$184.43 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
26 |
$125.19 |
| 90734 |
|
104 |
103 |
$54.32 |
| 99442 |
|
53 |
51 |
$46.32 |
| 0074A |
|
29 |
29 |
$43.86 |
| 36415 |
Collection of venous blood by venipuncture |
64 |
62 |
$37.54 |
| 0072A |
|
35 |
35 |
$37.29 |
| 0002A |
|
81 |
78 |
$32.17 |
| 0001A |
|
42 |
42 |
$29.40 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
30 |
27 |
$27.79 |
| 36416 |
|
178 |
159 |
$7.24 |
| 90723 |
|
136 |
136 |
$0.00 |
| 90697 |
|
89 |
85 |
$0.00 |
| 91301 |
|
24 |
24 |
$0.00 |
| 99443 |
|
14 |
13 |
$0.00 |
| 90648 |
|
408 |
407 |
$0.00 |
| 90633 |
|
460 |
456 |
$0.00 |
| 91300 |
|
193 |
172 |
$0.00 |
| 90681 |
|
75 |
68 |
$0.00 |
| 90671 |
|
96 |
95 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
81 |
79 |
$0.00 |
| 98968 |
|
28 |
20 |
$0.00 |