| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
27,081 |
23,399 |
$3.84M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,111 |
19,157 |
$415K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,804 |
2,122 |
$64K |
| 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 |
194 |
181 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,883 |
1,563 |
$31K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,520 |
620 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
745 |
620 |
$17K |
| 90686 |
|
1,009 |
906 |
$10K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
191 |
177 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
212 |
153 |
$5K |
| 90837 |
Psychotherapy, 53 minutes with patient |
94 |
42 |
$4K |
| 90656 |
|
275 |
259 |
$3K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
44 |
37 |
$3K |
| 90715 |
|
310 |
281 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
76 |
63 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
130 |
109 |
$2K |
| 90649 |
|
39 |
36 |
$1K |
| 90658 |
|
60 |
60 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
23 |
13 |
$1K |
| 92552 |
|
282 |
267 |
$667.48 |
| 90630 |
|
65 |
41 |
$620.00 |
| 99383 |
|
38 |
28 |
$616.86 |
| 90670 |
|
181 |
139 |
$488.16 |
| 99384 |
|
30 |
25 |
$411.15 |
| 90633 |
|
104 |
74 |
$281.25 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
20 |
17 |
$264.90 |
| 83655 |
|
189 |
154 |
$263.50 |
| 92551 |
|
52 |
40 |
$225.39 |
| 90710 |
|
92 |
68 |
$225.00 |
| 90723 |
|
110 |
87 |
$225.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
12 |
$191.10 |
| 99385 |
|
15 |
13 |
$141.26 |
| 90748 |
|
13 |
13 |
$129.00 |
| 81025 |
|
291 |
263 |
$123.20 |
| 90734 |
|
43 |
43 |
$113.40 |
| 90696 |
|
27 |
19 |
$90.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
19 |
15 |
$80.91 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,018 |
904 |
$67.23 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
41 |
31 |
$61.47 |
| 85018 |
|
168 |
136 |
$54.78 |
| 81001 |
|
15 |
13 |
$28.94 |
| 81002 |
|
20 |
12 |
$13.76 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
154 |
152 |
$7.81 |
| 1160F |
|
993 |
904 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
36 |
27 |
$0.00 |
| 1159F |
|
1,037 |
942 |
$0.00 |
| 3078F |
|
244 |
237 |
$0.00 |
| 3077F |
|
13 |
12 |
$0.00 |
| 99442 |
|
16 |
15 |
$0.00 |
| Z7500 |
|
12 |
12 |
$0.00 |
| 3008F |
|
696 |
654 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
143 |
135 |
$0.00 |
| 3079F |
|
61 |
59 |
$0.00 |
| 3074F |
|
121 |
119 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
36 |
26 |
$0.00 |