| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
20,307 |
15,927 |
$1.99M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,398 |
17,134 |
$345K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,023 |
832 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,094 |
897 |
$19K |
| 99348 |
|
590 |
560 |
$11K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,284 |
1,260 |
$10K |
| 92553 |
|
476 |
373 |
$7K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
677 |
675 |
$6K |
| 90686 |
|
398 |
292 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
392 |
353 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
135 |
99 |
$5K |
| 99335 |
|
372 |
354 |
$4K |
| 90656 |
|
291 |
247 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
55 |
52 |
$4K |
| 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 |
145 |
107 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
122 |
87 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
113 |
83 |
$3K |
| 99306 |
Prolong nursin fac eval 15m |
104 |
103 |
$2K |
| 99326 |
|
32 |
30 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
25 |
$1K |
| 99343 |
|
25 |
25 |
$1K |
| 99342 |
|
21 |
20 |
$836.40 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
67 |
51 |
$833.10 |
| 81003 |
|
685 |
506 |
$787.87 |
| 85018 |
|
422 |
330 |
$704.42 |
| 90715 |
|
26 |
26 |
$683.45 |
| 81000 |
|
200 |
195 |
$626.10 |
| 90791 |
Psychiatric diagnostic evaluation |
40 |
40 |
$596.23 |
| 99336 |
|
15 |
14 |
$549.90 |
| 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 |
129 |
129 |
$518.96 |
| 99305 |
|
41 |
41 |
$445.55 |
| Q3014 |
Telehealth originating site facility fee |
28 |
15 |
$435.86 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
37 |
36 |
$381.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
128 |
116 |
$216.00 |
| 90700 |
|
12 |
12 |
$157.50 |
| 90713 |
|
12 |
12 |
$157.50 |
| 90716 |
|
12 |
12 |
$157.50 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$148.81 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
13 |
$113.72 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
62 |
55 |
$78.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$34.30 |
| 81002 |
|
16 |
15 |
$29.66 |
| 99072 |
|
1,009 |
895 |
$19.71 |
| 86580 |
|
12 |
12 |
$16.80 |
| 99499 |
|
29 |
29 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
379 |
378 |
$0.00 |
| 99173 |
|
87 |
87 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
76 |
76 |
$0.00 |
| 94760 |
|
28 |
27 |
$0.00 |