| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
39,216 |
31,644 |
$3.06M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,788 |
15,752 |
$827K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,969 |
19,140 |
$649K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,604 |
3,788 |
$87K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,191 |
495 |
$32K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,045 |
467 |
$20K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
284 |
182 |
$13K |
| 90756 |
|
805 |
477 |
$9K |
| Q3014 |
Telehealth originating site facility fee |
1,089 |
619 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
948 |
550 |
$9K |
| 80305 |
|
1,590 |
822 |
$7K |
| 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 |
2,086 |
1,757 |
$6K |
| 90791 |
Psychiatric diagnostic evaluation |
50 |
26 |
$2K |
| 90715 |
|
320 |
259 |
$2K |
| 90688 |
|
297 |
189 |
$2K |
| 99215 |
Prolong outpt/office vis |
53 |
26 |
$2K |
| 11721 |
|
125 |
85 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
61 |
25 |
$2K |
| 90732 |
|
14 |
13 |
$2K |
| 90686 |
|
134 |
76 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
168 |
94 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
196 |
56 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
121 |
94 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
121 |
101 |
$678.77 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
23 |
13 |
$630.30 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
36 |
27 |
$619.82 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
35 |
28 |
$563.52 |
| 81025 |
|
177 |
94 |
$528.63 |
| 97803 |
|
12 |
12 |
$339.66 |
| 90658 |
|
14 |
13 |
$304.74 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
22 |
13 |
$142.60 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
12 |
$114.96 |
| 81002 |
|
140 |
124 |
$95.89 |
| 99386 |
|
14 |
12 |
$89.87 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
17 |
12 |
$44.04 |
| 92551 |
|
19 |
12 |
$42.86 |
| 99173 |
|
28 |
19 |
$19.32 |
| 3074F |
|
20,302 |
18,409 |
$0.00 |
| 3075F |
|
3,691 |
3,502 |
$0.00 |
| 1036F |
|
16,895 |
14,665 |
$0.00 |
| 3079F |
|
7,005 |
6,586 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,332 |
1,229 |
$0.00 |
| 3044F |
|
1,344 |
1,169 |
$0.00 |
| 2001F |
|
1,660 |
1,514 |
$0.00 |
| 3048F |
|
1,135 |
953 |
$0.00 |
| 4000F |
|
614 |
573 |
$0.00 |
| 3049F |
|
475 |
399 |
$0.00 |
| 4010F |
|
67 |
56 |
$0.00 |
| 3008F |
|
3,798 |
3,398 |
$0.00 |
| 1034F |
|
635 |
593 |
$0.00 |
| 3080F |
|
38 |
37 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
195 |
179 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
34 |
33 |
$0.00 |
| 3061F |
|
13 |
12 |
$0.00 |
| 4004F |
|
13,326 |
12,172 |
$0.00 |
| 3077F |
|
255 |
242 |
$0.00 |
| 3078F |
|
17,755 |
16,199 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
1,513 |
1,365 |
$0.00 |
| 1159F |
|
2,852 |
2,527 |
$0.00 |
| 1160F |
|
2,853 |
2,528 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,222 |
1,127 |
$0.00 |
| 3050F |
|
181 |
155 |
$0.00 |
| 3046F |
|
24 |
24 |
$0.00 |
| 3045F |
|
35 |
28 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
14 |
14 |
$0.00 |