| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
14,015 |
12,165 |
$2.62M |
| 90832 |
Psychotherapy, 30 minutes with patient |
758 |
265 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,650 |
5,658 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,917 |
1,988 |
$11K |
| 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 |
76 |
65 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,899 |
2,210 |
$7K |
| 99215 |
Prolong outpt/office vis |
716 |
413 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
62 |
24 |
$2K |
| G9920 |
Screening performed and negative |
599 |
360 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
64 |
38 |
$452.43 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
167 |
97 |
$434.16 |
| 0031A |
|
14 |
12 |
$402.00 |
| 90686 |
|
294 |
233 |
$278.00 |
| 92551 |
|
322 |
244 |
$266.80 |
| 83026 |
|
350 |
251 |
$76.68 |
| 90670 |
|
21 |
16 |
$63.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
51 |
27 |
$60.31 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
120 |
88 |
$54.01 |
| 90633 |
|
22 |
14 |
$36.00 |
| 90734 |
|
36 |
26 |
$18.00 |
| 82962 |
|
60 |
57 |
$11.00 |
| 90651 |
|
38 |
27 |
$9.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
176 |
148 |
$8.51 |
| 96127 |
|
46 |
25 |
$5.00 |
| 81002 |
|
14 |
13 |
$4.74 |
| 85018 |
|
15 |
13 |
$4.56 |
| 82947 |
|
43 |
30 |
$3.63 |
| 90689 |
|
28 |
20 |
$2.70 |
| 81003 |
|
129 |
82 |
$0.00 |
| 99173 |
|
283 |
216 |
$0.00 |
| 90715 |
|
15 |
13 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
141 |
121 |
$0.00 |