| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
33,731 |
26,975 |
$2.06M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,505 |
11,111 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,519 |
9,297 |
$12K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,406 |
1,773 |
$6K |
| 90686 |
|
1,091 |
1,080 |
$2K |
| 98926 |
|
2,357 |
1,803 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
821 |
819 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
595 |
593 |
$976.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,466 |
2,442 |
$681.85 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
849 |
844 |
$649.22 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
326 |
325 |
$509.53 |
| 90632 |
|
116 |
116 |
$484.34 |
| 90834 |
Psychotherapy, 45 minutes with patient |
266 |
230 |
$391.53 |
| 0001A |
|
13 |
13 |
$356.60 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
224 |
223 |
$321.56 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,261 |
1,227 |
$219.04 |
| 90715 |
|
27 |
26 |
$181.88 |
| G9002 |
Coordinated care fee, maintenance rate |
14 |
12 |
$121.32 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
277 |
264 |
$106.42 |
| 98925 |
|
505 |
394 |
$88.15 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
78 |
78 |
$73.74 |
| 90656 |
|
36 |
36 |
$67.05 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
69 |
45 |
$27.42 |
| 99406 |
|
135 |
128 |
$16.64 |
| 96160 |
|
450 |
444 |
$8.32 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
469 |
327 |
$7.00 |
| 81002 |
|
65 |
64 |
$5.76 |
| 3008F |
|
1,379 |
1,269 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
271 |
220 |
$0.00 |
| 99356 |
|
440 |
432 |
$0.00 |
| 3074F |
|
2,555 |
2,305 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,206 |
2,109 |
$0.00 |
| 3079F |
|
315 |
297 |
$0.00 |
| 36416 |
|
43 |
39 |
$0.00 |
| S0250 |
Comprehensive geriatric assessment and treatment planning performed by assessment team |
231 |
229 |
$0.00 |
| 99305 |
|
117 |
111 |
$0.00 |
| 3044F |
|
208 |
167 |
$0.00 |
| 3075F |
|
237 |
226 |
$0.00 |
| 82962 |
|
13 |
12 |
$0.00 |
| G0317 |
Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99306, 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418). (do not report g0317 for any time unit less than 15 minutes) |
44 |
41 |
$0.00 |
| 90651 |
|
15 |
15 |
$0.00 |
| G9920 |
Screening performed and negative |
20 |
20 |
$0.00 |
| 3078F |
|
2,569 |
2,313 |
$0.00 |
| 99310 |
Prolong nursin fac eval 15m |
113 |
110 |
$0.00 |
| 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) |
48 |
44 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$0.00 |
| 99307 |
|
18 |
18 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |