| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
108,163 |
58,669 |
$10.34M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
161,637 |
98,478 |
$1.21M |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
2,466 |
1,813 |
$289K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,352 |
3,237 |
$71K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,342 |
1,306 |
$37K |
| 92552 |
|
6,524 |
6,483 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,306 |
2,228 |
$25K |
| 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 |
507 |
384 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,020 |
1,934 |
$20K |
| 3074F |
|
27,558 |
23,173 |
$19K |
| 3078F |
|
24,259 |
20,596 |
$19K |
| 81003 |
|
13,833 |
12,935 |
$15K |
| 99173 |
|
7,534 |
7,478 |
$12K |
| 94760 |
|
6,277 |
5,529 |
$12K |
| 96160 |
|
1,536 |
1,530 |
$11K |
| 85018 |
|
7,286 |
7,184 |
$10K |
| 99000 |
|
6,855 |
6,706 |
$7K |
| 3079F |
|
9,287 |
8,392 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
908 |
862 |
$4K |
| 96127 |
|
2,331 |
2,324 |
$4K |
| 82947 |
|
4,477 |
3,912 |
$4K |
| 81025 |
|
3,304 |
3,100 |
$3K |
| 3077F |
|
3,415 |
3,025 |
$3K |
| 3075F |
|
4,597 |
4,274 |
$3K |
| 93000 |
|
468 |
465 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,341 |
2,333 |
$2K |
| 3080F |
|
2,009 |
1,793 |
$2K |
| 90688 |
|
94 |
92 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
111 |
63 |
$1K |
| 90686 |
|
1,036 |
1,003 |
$1K |
| D1206 |
Topical application of fluoride varnish |
410 |
409 |
$840.86 |
| 90756 |
|
57 |
57 |
$731.66 |
| 90656 |
|
181 |
180 |
$406.47 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
43 |
42 |
$360.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
116 |
111 |
$312.84 |
| 90649 |
|
63 |
63 |
$155.85 |
| 90687 |
|
38 |
38 |
$153.00 |
| 99383 |
|
14 |
12 |
$131.60 |
| 90620 |
|
12 |
12 |
$104.85 |
| 86580 |
|
24 |
24 |
$87.51 |
| 99188 |
|
12 |
12 |
$48.00 |
| 90734 |
|
14 |
13 |
$41.90 |
| 3725F |
|
29 |
29 |
$0.01 |
| 90658 |
|
33 |
33 |
$0.00 |
| 1160F |
|
709 |
673 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
95 |
95 |
$0.00 |
| G9920 |
Screening performed and negative |
1,539 |
1,534 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
69 |
69 |
$0.00 |
| 91301 |
|
158 |
158 |
$0.00 |
| 3044F |
|
30 |
30 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
12 |
$0.00 |