| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
18,030 |
14,930 |
$3.33M |
| 59425 |
|
2,322 |
1,514 |
$174K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,933 |
8,752 |
$119K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,742 |
3,577 |
$83K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
257 |
174 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
514 |
507 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
352 |
352 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
204 |
203 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
553 |
485 |
$8K |
| 90686 |
|
346 |
346 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
60 |
60 |
$5K |
| 90670 |
|
393 |
392 |
$5K |
| 99215 |
Prolong outpt/office vis |
40 |
40 |
$5K |
| 90648 |
|
341 |
340 |
$3K |
| 97802 |
|
32 |
32 |
$3K |
| 81025 |
|
718 |
698 |
$3K |
| 90723 |
|
253 |
251 |
$2K |
| 81002 |
|
1,663 |
1,207 |
$2K |
| 0969 |
|
23 |
16 |
$2K |
| 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 |
1,226 |
1,113 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
98 |
98 |
$1K |
| 97803 |
|
12 |
12 |
$974.34 |
| 90680 |
|
55 |
54 |
$895.75 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
334 |
322 |
$845.01 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
42 |
41 |
$838.06 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
102 |
102 |
$828.03 |
| 90715 |
|
27 |
27 |
$811.98 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$789.30 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
25 |
25 |
$788.90 |
| 90633 |
|
58 |
58 |
$522.00 |
| 92551 |
|
249 |
248 |
$498.50 |
| 90688 |
|
37 |
37 |
$488.00 |
| 99173 |
|
189 |
189 |
$441.84 |
| 82948 |
|
641 |
530 |
$304.58 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
13 |
13 |
$264.00 |
| 90647 |
|
12 |
12 |
$130.86 |
| 90707 |
|
13 |
13 |
$117.00 |
| 90697 |
|
12 |
12 |
$108.00 |
| Z1034 |
|
1,019 |
697 |
$0.00 |
| 90656 |
|
21 |
21 |
$0.00 |