| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
181,633 |
135,586 |
$22.00M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
192,539 |
145,322 |
$2.72M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
62,028 |
53,219 |
$1.20M |
| 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 |
17,364 |
12,314 |
$532K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
6,454 |
6,298 |
$216K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,062 |
3,025 |
$215K |
| 99215 |
Prolong outpt/office vis |
3,804 |
3,586 |
$158K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,151 |
1,442 |
$125K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,245 |
6,253 |
$105K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,206 |
2,199 |
$102K |
| 90656 |
|
3,202 |
3,191 |
$55K |
| 59425 |
|
936 |
560 |
$45K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,055 |
1,054 |
$40K |
| 92552 |
|
3,847 |
3,840 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
960 |
960 |
$30K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,627 |
1,305 |
$29K |
| 90715 |
|
1,119 |
1,100 |
$27K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,400 |
1,202 |
$21K |
| 90732 |
|
225 |
225 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
475 |
474 |
$12K |
| J3490 |
Unclassified drugs |
260 |
236 |
$11K |
| 0270 |
|
1,070 |
1,012 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
154 |
154 |
$9K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
555 |
417 |
$7K |
| 99173 |
|
3,559 |
3,553 |
$6K |
| 90686 |
|
1,664 |
1,628 |
$5K |
| 93000 |
|
243 |
240 |
$5K |
| 0250 |
|
430 |
420 |
$4K |
| 81002 |
|
1,827 |
1,746 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
98 |
96 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
70 |
62 |
$3K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,399 |
895 |
$3K |
| 90649 |
|
409 |
394 |
$3K |
| 94760 |
|
2,985 |
2,414 |
$3K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
858 |
797 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
62 |
62 |
$2K |
| 85018 |
|
1,645 |
1,628 |
$2K |
| H1000 |
Prenatal care, at-risk assessment |
12 |
12 |
$2K |
| 90685 |
|
260 |
239 |
$2K |
| 90734 |
|
254 |
248 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,545 |
2,522 |
$1K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
36 |
36 |
$1K |
| 99205 |
Prolong outpt/office vis |
15 |
15 |
$986.60 |
| 90714 |
|
45 |
41 |
$917.05 |
| 90670 |
|
184 |
182 |
$641.34 |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
24 |
24 |
$521.39 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
126 |
111 |
$479.06 |
| G0008 |
Administration of influenza virus vaccine |
620 |
620 |
$474.80 |
| 90698 |
|
66 |
65 |
$302.00 |
| 90633 |
|
46 |
46 |
$243.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
13 |
13 |
$193.07 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$115.20 |
| 90680 |
|
12 |
12 |
$98.40 |
| 90710 |
|
15 |
15 |
$90.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$81.55 |
| 82962 |
|
22 |
21 |
$32.00 |
| 90620 |
|
39 |
39 |
$1.81 |
| 90677 |
|
12 |
12 |
$1.80 |
| 90621 |
|
12 |
12 |
$0.55 |
| 3077F |
|
12 |
12 |
$0.00 |
| 99001 |
|
3,164 |
3,124 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
385 |
384 |
$0.00 |
| T1101 |
|
623 |
547 |
$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 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
111 |
107 |
$0.00 |
| 3078F |
|
283 |
244 |
$0.00 |
| 0900 |
|
63 |
53 |
$0.00 |
| 99442 |
|
13 |
13 |
$0.00 |
| Z1034 |
|
1,904 |
1,387 |
$0.00 |
| 3075F |
|
254 |
238 |
$0.00 |
| Z7610 |
|
231 |
219 |
$0.00 |
| 3074F |
|
1,224 |
1,035 |
$0.00 |
| 3079F |
|
45 |
41 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
19 |
19 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$0.00 |
| Z1038 |
|
26 |
26 |
$0.00 |
| Z1032 |
|
12 |
12 |
$0.00 |