| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
71,203 |
61,321 |
$9.11M |
| 59425 |
|
3,111 |
2,458 |
$223K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,109 |
21,451 |
$164K |
| 96127 |
|
46,911 |
25,928 |
$132K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
11,792 |
8,709 |
$119K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,523 |
1,757 |
$108K |
| 90791 |
Psychiatric diagnostic evaluation |
1,044 |
702 |
$92K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,287 |
1,402 |
$84K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,446 |
886 |
$80K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,201 |
16,171 |
$69K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,419 |
1,551 |
$54K |
| 59430 |
|
530 |
506 |
$35K |
| 0500F |
|
844 |
601 |
$34K |
| 99215 |
Prolong outpt/office vis |
890 |
549 |
$26K |
| 90746 |
|
423 |
358 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,766 |
1,785 |
$19K |
| D1206 |
Topical application of fluoride varnish |
2,542 |
1,854 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,255 |
1,642 |
$13K |
| 90686 |
|
4,539 |
3,382 |
$13K |
| G9012 |
Other specified case management service not elsewhere classified |
183 |
140 |
$13K |
| 99173 |
|
6,121 |
4,280 |
$12K |
| 99188 |
|
926 |
577 |
$8K |
| 81003 |
|
7,192 |
4,155 |
$7K |
| 90715 |
|
601 |
450 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,072 |
2,038 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,090 |
1,396 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,849 |
1,212 |
$4K |
| 81025 |
|
2,013 |
1,471 |
$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 |
119 |
109 |
$3K |
| 92552 |
|
6,391 |
4,410 |
$2K |
| 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 |
86 |
71 |
$2K |
| 99381 |
|
177 |
163 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
270 |
266 |
$2K |
| J3490 |
Unclassified drugs |
42 |
37 |
$2K |
| 99205 |
Prolong outpt/office vis |
22 |
18 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
134 |
108 |
$1K |
| 99384 |
|
115 |
82 |
$680.79 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
15 |
15 |
$538.26 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
125 |
75 |
$480.48 |
| 80305 |
|
44 |
37 |
$459.80 |
| 99385 |
|
64 |
42 |
$273.84 |
| 99417 |
Prolong home eval add 15m |
28 |
25 |
$272.45 |
| 99383 |
|
98 |
74 |
$263.20 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
157 |
90 |
$248.04 |
| 99401 |
|
16 |
12 |
$241.90 |
| 88164 |
|
655 |
362 |
$173.70 |
| 99201 |
|
180 |
106 |
$164.88 |
| 99386 |
|
18 |
12 |
$145.44 |
| 90651 |
|
932 |
643 |
$131.62 |
| 88720 |
|
53 |
40 |
$68.34 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
800 |
730 |
$65.88 |
| 85018 |
|
3,630 |
3,235 |
$51.72 |
| 90744 |
|
1,292 |
957 |
$36.00 |
| 90698 |
|
1,326 |
881 |
$18.54 |
| 90633 |
|
1,468 |
1,028 |
$18.27 |
| 90620 |
|
140 |
88 |
$14.22 |
| 90670 |
|
1,740 |
1,204 |
$9.00 |
| 96161 |
|
667 |
615 |
$7.82 |
| 3075F |
|
1,141 |
1,015 |
$0.00 |
| 3079F |
|
2,820 |
2,516 |
$0.00 |
| 0503F |
|
597 |
521 |
$0.00 |
| Z1034 |
|
3,131 |
2,482 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
9,137 |
7,282 |
$0.00 |
| 3074F |
|
9,041 |
7,806 |
$0.00 |
| 90677 |
|
303 |
224 |
$0.00 |
| Z1038 |
|
527 |
501 |
$0.00 |
| Z1032 |
|
386 |
386 |
$0.00 |
| 90723 |
|
69 |
69 |
$0.00 |
| 90716 |
|
165 |
113 |
$0.00 |
| 90619 |
|
137 |
87 |
$0.00 |
| 90656 |
|
166 |
155 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
18 |
13 |
$0.00 |
| 3080F |
|
15 |
14 |
$0.00 |
| 90696 |
|
110 |
61 |
$0.00 |
| 88142 |
|
30 |
15 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
17 |
16 |
$0.00 |
| 3078F |
|
7,605 |
6,575 |
$0.00 |
| 90734 |
|
548 |
381 |
$0.00 |
| 90713 |
|
98 |
81 |
$0.00 |
| 96160 |
|
377 |
336 |
$0.00 |
| 0502F |
|
2,885 |
2,176 |
$0.00 |
| 90648 |
|
150 |
140 |
$0.00 |
| 3077F |
|
194 |
167 |
$0.00 |
| 90710 |
|
211 |
132 |
$0.00 |
| 90681 |
|
404 |
261 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
105 |
67 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
52 |
47 |
$0.00 |
| 90707 |
|
113 |
86 |
$0.00 |
| 90700 |
|
71 |
40 |
$0.00 |