| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
28,796 |
19,491 |
$2.29M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,528 |
13,960 |
$472K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,844 |
2,134 |
$104K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,641 |
2,784 |
$64K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,804 |
1,462 |
$63K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,757 |
2,316 |
$60K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,337 |
841 |
$53K |
| 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 |
1,523 |
1,315 |
$29K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
806 |
486 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
860 |
544 |
$16K |
| 80305 |
|
1,969 |
956 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,510 |
1,467 |
$8K |
| 90686 |
|
1,743 |
993 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
725 |
427 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
139 |
66 |
$4K |
| 36416 |
|
3,032 |
1,858 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
392 |
201 |
$3K |
| 92551 |
|
764 |
408 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
313 |
177 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
388 |
105 |
$2K |
| 99173 |
|
915 |
489 |
$997.72 |
| 0012A |
|
34 |
33 |
$977.24 |
| 97803 |
|
57 |
25 |
$784.23 |
| 90670 |
|
527 |
378 |
$699.54 |
| 0011A |
|
30 |
27 |
$587.18 |
| 99385 |
|
21 |
12 |
$523.86 |
| 85018 |
|
399 |
315 |
$390.13 |
| 87807 |
|
52 |
30 |
$323.68 |
| 81002 |
|
329 |
175 |
$317.53 |
| 96127 |
|
129 |
85 |
$277.65 |
| 83655 |
|
82 |
56 |
$236.74 |
| 88738 |
|
191 |
114 |
$209.35 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
15 |
$203.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
25 |
15 |
$21.25 |
| 3044F |
|
178 |
93 |
$20.04 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
12 |
$15.84 |
| 91301 |
|
81 |
74 |
$0.63 |
| 3078F |
|
979 |
546 |
$0.36 |
| 3074F |
|
1,087 |
559 |
$0.31 |
| 3077F |
|
178 |
94 |
$0.07 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
464 |
308 |
$0.00 |
| 99071 |
|
1,279 |
677 |
$0.00 |
| 4004F |
|
97 |
53 |
$0.00 |
| 90633 |
|
124 |
91 |
$0.00 |
| 90700 |
|
30 |
15 |
$0.00 |
| 90707 |
|
30 |
15 |
$0.00 |
| 90685 |
|
16 |
13 |
$0.00 |
| 90648 |
|
47 |
26 |
$0.00 |
| 90681 |
|
17 |
12 |
$0.00 |
| 90698 |
|
293 |
234 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
452 |
303 |
$0.00 |
| 90647 |
|
91 |
56 |
$0.00 |
| 90680 |
|
119 |
101 |
$0.00 |
| 90716 |
|
53 |
28 |
$0.00 |
| 3008F |
|
870 |
536 |
$0.00 |
| 90744 |
|
97 |
83 |
$0.00 |
| 3079F |
|
19 |
12 |
$0.00 |
| 4000F |
|
15 |
13 |
$0.00 |
| 90723 |
|
26 |
14 |
$0.00 |
| 90688 |
|
13 |
13 |
$0.00 |
| 3080F |
|
21 |
13 |
$0.00 |