| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
125,099 |
80,983 |
$8.00M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
158,823 |
80,642 |
$3.27M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,060 |
4,693 |
$273K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,144 |
1,425 |
$60K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,764 |
902 |
$52K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,209 |
2,631 |
$36K |
| H1000 |
Prenatal care, at-risk assessment |
1,393 |
704 |
$34K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,506 |
2,716 |
$31K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,321 |
457 |
$26K |
| 81025 |
|
6,235 |
3,813 |
$22K |
| 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 |
2,390 |
1,920 |
$21K |
| 59025 |
Fetal non-stress test |
2,003 |
897 |
$20K |
| 90686 |
|
2,728 |
1,342 |
$18K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
3,734 |
2,372 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,165 |
613 |
$14K |
| 90791 |
Psychiatric diagnostic evaluation |
397 |
168 |
$13K |
| 99215 |
Prolong outpt/office vis |
322 |
172 |
$12K |
| 59430 |
|
222 |
113 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
210 |
98 |
$7K |
| 0012A |
|
178 |
174 |
$4K |
| 0011A |
|
213 |
185 |
$3K |
| 90715 |
|
188 |
105 |
$3K |
| 96127 |
|
1,377 |
1,022 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
63 |
26 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
119 |
93 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
377 |
223 |
$1K |
| 99385 |
|
24 |
15 |
$937.20 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
37 |
13 |
$808.64 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
29 |
13 |
$697.96 |
| 90656 |
|
34 |
34 |
$562.11 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
104 |
42 |
$391.06 |
| 90653 |
|
24 |
24 |
$329.68 |
| G0008 |
Administration of influenza virus vaccine |
31 |
26 |
$227.69 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
59 |
25 |
$205.87 |
| 87210 |
|
109 |
57 |
$202.60 |
| 99406 |
|
186 |
119 |
$131.98 |
| 36415 |
Collection of venous blood by venipuncture |
87 |
81 |
$130.34 |
| 96160 |
|
2,576 |
1,663 |
$55.81 |
| 81002 |
|
46 |
25 |
$42.68 |
| 91301 |
|
433 |
387 |
$2.34 |
| 3077F |
|
29 |
13 |
$0.07 |
| 0502F |
|
4,533 |
2,491 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
247 |
138 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
14 |
13 |
$0.00 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
12 |
12 |
$0.00 |
| 2014F |
|
42 |
16 |
$0.00 |
| 0500F |
|
121 |
67 |
$0.00 |
| 0503F |
|
83 |
45 |
$0.00 |