| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
21,314 |
18,191 |
$4.38M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
7,639 |
6,577 |
$220K |
| 0761 |
|
3,380 |
2,646 |
$98K |
| 59425 |
|
1,221 |
768 |
$91K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,483 |
10,199 |
$66K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,462 |
1,430 |
$58K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,443 |
1,434 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,962 |
4,676 |
$45K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,039 |
479 |
$37K |
| 0760 |
|
822 |
731 |
$35K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
782 |
450 |
$20K |
| 0510 |
|
699 |
615 |
$20K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
978 |
534 |
$13K |
| 90686 |
|
1,723 |
1,061 |
$10K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
122 |
92 |
$9K |
| 90670 |
|
1,306 |
752 |
$7K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
242 |
214 |
$6K |
| 99188 |
|
432 |
274 |
$5K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
733 |
478 |
$4K |
| D1206 |
Topical application of fluoride varnish |
381 |
267 |
$4K |
| 81002 |
|
2,467 |
1,005 |
$3K |
| 90697 |
|
605 |
336 |
$3K |
| 90633 |
|
567 |
335 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
72 |
41 |
$3K |
| 92551 |
|
1,913 |
1,080 |
$2K |
| 90698 |
|
509 |
283 |
$2K |
| 0012A |
|
53 |
53 |
$2K |
| 90681 |
|
339 |
184 |
$2K |
| 90677 |
|
390 |
275 |
$2K |
| 81025 |
|
614 |
278 |
$1K |
| 90480 |
|
63 |
42 |
$948.50 |
| 0071A |
|
22 |
22 |
$880.00 |
| 90744 |
|
168 |
93 |
$837.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
62 |
44 |
$777.86 |
| G9920 |
Screening performed and negative |
1,197 |
716 |
$692.81 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
48 |
25 |
$565.81 |
| 0013A |
|
14 |
14 |
$520.00 |
| 0072A |
|
12 |
12 |
$480.00 |
| 85018 |
|
2,230 |
1,267 |
$283.21 |
| 90716 |
|
43 |
25 |
$252.00 |
| 90656 |
|
96 |
81 |
$234.00 |
| 90685 |
|
27 |
18 |
$162.00 |
| 90707 |
|
25 |
15 |
$153.00 |
| 90696 |
|
22 |
14 |
$126.00 |
| 90710 |
|
22 |
14 |
$126.00 |
| 96127 |
|
36 |
27 |
$54.09 |
| 90381 |
|
17 |
13 |
$36.00 |
| 91321 |
|
48 |
31 |
$0.05 |
| 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 |
1,531 |
1,371 |
$0.00 |
| 99173 |
|
893 |
893 |
$0.00 |