| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
35,695 |
27,253 |
$2.93M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,123 |
7,178 |
$297K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,518 |
11,908 |
$295K |
| 90834 |
Psychotherapy, 45 minutes with patient |
6,729 |
2,937 |
$147K |
| 99442 |
|
2,420 |
1,237 |
$26K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,904 |
1,622 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,438 |
2,583 |
$16K |
| 90674 |
|
1,210 |
777 |
$15K |
| 90686 |
|
1,918 |
1,548 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
677 |
358 |
$9K |
| 91322 |
|
85 |
67 |
$9K |
| 0011A |
|
199 |
198 |
$7K |
| 0012A |
|
186 |
185 |
$7K |
| 90832 |
Psychotherapy, 30 minutes with patient |
308 |
144 |
$6K |
| 90651 |
|
42 |
38 |
$5K |
| 90480 |
|
116 |
91 |
$4K |
| 0124A |
|
161 |
100 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
153 |
101 |
$3K |
| 90661 |
|
156 |
145 |
$3K |
| 0064A |
|
83 |
69 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
867 |
610 |
$3K |
| 90677 |
|
12 |
12 |
$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 |
238 |
201 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
202 |
158 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
675 |
490 |
$2K |
| 0071A |
|
33 |
33 |
$1K |
| 99441 |
|
175 |
91 |
$983.36 |
| 82962 |
|
1,401 |
947 |
$873.91 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
28 |
14 |
$863.85 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
38 |
27 |
$733.80 |
| 90746 |
|
13 |
12 |
$710.84 |
| 99443 |
|
85 |
64 |
$702.61 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
19 |
13 |
$534.58 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
506 |
371 |
$327.51 |
| 90791 |
Psychiatric diagnostic evaluation |
16 |
12 |
$175.22 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
161 |
138 |
$158.26 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
203 |
145 |
$117.29 |
| 90461 |
|
689 |
246 |
$80.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
12 |
$38.93 |
| 85018 |
|
132 |
111 |
$26.71 |
| 81003 |
|
225 |
197 |
$24.51 |
| 96160 |
|
223 |
187 |
$24.01 |
| 91301 |
|
397 |
374 |
$3.86 |
| 91300 |
|
155 |
118 |
$1.06 |
| 91307 |
|
59 |
55 |
$0.50 |
| 91306 |
|
68 |
54 |
$0.01 |
| 81025 |
|
73 |
66 |
$0.00 |
| 3078F |
|
8,419 |
6,031 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
127 |
101 |
$0.00 |
| 3077F |
|
137 |
105 |
$0.00 |
| 91312 |
|
149 |
94 |
$0.00 |
| 90670 |
|
140 |
104 |
$0.00 |
| 3045F |
|
31 |
27 |
$0.00 |
| 90715 |
|
31 |
24 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
63 |
61 |
$0.00 |
| 3046F |
|
17 |
12 |
$0.00 |
| 3079F |
|
2,165 |
1,535 |
$0.00 |
| 3075F |
|
418 |
388 |
$0.00 |
| 3008F |
|
8,610 |
4,978 |
$0.00 |
| 3074F |
|
7,374 |
6,428 |
$0.00 |
| 90723 |
|
30 |
26 |
$0.00 |
| 90647 |
|
48 |
43 |
$0.00 |
| 3044F |
|
14 |
12 |
$0.00 |