| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
14,243 |
10,740 |
$1.04M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,303 |
7,818 |
$450K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,068 |
1,052 |
$96K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,585 |
932 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
782 |
530 |
$31K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
553 |
447 |
$29K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,261 |
504 |
$24K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
218 |
208 |
$19K |
| Q3014 |
Telehealth originating site facility fee |
1,382 |
608 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
909 |
890 |
$13K |
| 81025 |
|
2,589 |
1,900 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
933 |
577 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
5,902 |
3,798 |
$8K |
| 76830 |
Ultrasound, transvaginal |
109 |
101 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
141 |
75 |
$5K |
| 59430 |
|
150 |
106 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
212 |
128 |
$2K |
| 76801 |
|
33 |
32 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
77 |
33 |
$2K |
| 90715 |
|
68 |
37 |
$1K |
| 99385 |
|
117 |
116 |
$983.60 |
| 99401 |
|
92 |
41 |
$853.13 |
| 90837 |
Psychotherapy, 53 minutes with patient |
26 |
14 |
$838.95 |
| 81003 |
|
621 |
360 |
$683.64 |
| 90686 |
|
39 |
24 |
$356.35 |
| H1000 |
Prenatal care, at-risk assessment |
16 |
14 |
$164.62 |
| G8484 |
Influenza immunization was not administered, reason not given |
6,593 |
3,128 |
$0.00 |
| G8938 |
Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible |
6,624 |
2,832 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
20,262 |
10,538 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
9,796 |
5,293 |
$0.00 |
| 4004F |
|
7,946 |
4,277 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
362 |
121 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
223 |
85 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
85 |
79 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
14 |
14 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
231 |
162 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
3,552 |
2,011 |
$0.00 |
| 1036F |
|
12,431 |
6,066 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
2,449 |
1,263 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
8,770 |
4,041 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
5,310 |
2,612 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
4,027 |
2,391 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
9,239 |
4,730 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
5,135 |
2,537 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
594 |
431 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
31 |
31 |
$0.00 |
| 3017F |
|
56 |
26 |
$0.00 |