| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
42,120 |
35,786 |
$4.84M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,346 |
16,268 |
$182K |
| 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 |
2,107 |
1,555 |
$69K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,875 |
1,517 |
$19K |
| 81025 |
|
1,911 |
1,663 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
300 |
180 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,390 |
1,088 |
$2K |
| 99334 |
|
4,551 |
3,153 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
332 |
285 |
$1K |
| J3490 |
Unclassified drugs |
41 |
28 |
$703.52 |
| 90686 |
|
746 |
609 |
$645.51 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
364 |
315 |
$403.85 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
237 |
212 |
$393.38 |
| 92551 |
|
2,657 |
2,163 |
$301.30 |
| 97802 |
|
1,704 |
1,394 |
$178.45 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
201 |
154 |
$147.43 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
64 |
56 |
$130.23 |
| 85018 |
|
4,437 |
3,666 |
$130.12 |
| 90648 |
|
180 |
161 |
$63.00 |
| 90670 |
|
162 |
143 |
$54.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
22 |
17 |
$49.78 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
107 |
75 |
$49.20 |
| 90723 |
|
15 |
12 |
$27.00 |
| 81002 |
|
620 |
508 |
$22.79 |
| 87430 |
|
113 |
107 |
$16.20 |
| 90633 |
|
20 |
14 |
$9.00 |
| 92015 |
Determination of refractive state |
22 |
17 |
$8.01 |
| 81000 |
|
211 |
165 |
$2.55 |
| 96156 |
|
1,780 |
1,377 |
$0.00 |
| 90680 |
|
27 |
25 |
$0.00 |
| 82962 |
|
901 |
651 |
$0.00 |
| 3074F |
|
1,842 |
1,335 |
$0.00 |
| Z1034 |
|
1,889 |
1,425 |
$0.00 |
| Z6406 |
|
100 |
76 |
$0.00 |
| 3075F |
|
251 |
186 |
$0.00 |
| 3079F |
|
246 |
180 |
$0.00 |
| Z6410 |
|
20 |
14 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
231 |
189 |
$0.00 |
| 0011A |
|
17 |
12 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| Z1032 |
|
13 |
13 |
$0.00 |
| 99335 |
|
36 |
25 |
$0.00 |
| 01 |
Inj., retisert, 0.01 mg |
71 |
45 |
$0.00 |
| 91301 |
|
26 |
21 |
$0.00 |
| 99173 |
|
2,977 |
2,403 |
$0.00 |
| 3078F |
|
1,997 |
1,465 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
79 |
56 |
$0.00 |
| 3077F |
|
67 |
48 |
$0.00 |
| Z6400 |
|
262 |
235 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
16 |
13 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 11720 |
|
95 |
64 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
65 |
53 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
26 |
24 |
$0.00 |
| 97803 |
|
119 |
87 |
$0.00 |
| 99336 |
|
18 |
14 |
$0.00 |