| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
53,281 |
33,659 |
$3.35M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
76,958 |
44,431 |
$1.81M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,273 |
3,770 |
$192K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,791 |
4,001 |
$187K |
| 90832 |
Psychotherapy, 30 minutes with patient |
7,381 |
4,061 |
$144K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,085 |
5,249 |
$115K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,051 |
1,290 |
$73K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,988 |
6,805 |
$70K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,804 |
4,135 |
$52K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,707 |
1,603 |
$50K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,214 |
1,109 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,537 |
1,183 |
$41K |
| 90791 |
Psychiatric diagnostic evaluation |
557 |
429 |
$34K |
| 76830 |
Ultrasound, transvaginal |
849 |
818 |
$32K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,760 |
2,359 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
790 |
569 |
$28K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
842 |
755 |
$27K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
503 |
482 |
$26K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
437 |
225 |
$19K |
| 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 |
1,189 |
805 |
$18K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
433 |
347 |
$15K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
429 |
155 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,086 |
896 |
$9K |
| 90670 |
|
2,587 |
2,216 |
$7K |
| 90686 |
|
1,691 |
1,506 |
$6K |
| 76801 |
|
186 |
156 |
$6K |
| 99385 |
|
149 |
85 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
351 |
131 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
256 |
187 |
$3K |
| 90474 |
|
326 |
276 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
45 |
30 |
$2K |
| 90688 |
|
203 |
124 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
82 |
45 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
50 |
28 |
$1K |
| 90723 |
|
2,002 |
1,696 |
$748.26 |
| 90633 |
|
790 |
682 |
$740.95 |
| 90677 |
|
147 |
130 |
$567.44 |
| 90647 |
|
1,534 |
1,268 |
$559.89 |
| 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 |
29 |
29 |
$500.52 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
22 |
13 |
$349.79 |
| 90656 |
|
30 |
30 |
$269.27 |
| 90681 |
|
668 |
547 |
$213.14 |
| 90834 |
Psychotherapy, 45 minutes with patient |
19 |
12 |
$195.82 |
| 59025 |
Fetal non-stress test |
18 |
14 |
$121.71 |
| 90648 |
|
286 |
255 |
$110.05 |
| 99188 |
|
14 |
14 |
$14.00 |
| 90685 |
|
333 |
257 |
$3.30 |
| 90632 |
|
19 |
18 |
$0.00 |
| 3074F |
|
103 |
83 |
$0.00 |
| 3079F |
|
28 |
23 |
$0.00 |
| 3075F |
|
15 |
13 |
$0.00 |
| 90716 |
|
52 |
36 |
$0.00 |
| 90700 |
|
19 |
12 |
$0.00 |
| 90707 |
|
52 |
36 |
$0.00 |
| 3078F |
|
89 |
73 |
$0.00 |
| 90710 |
|
14 |
12 |
$0.00 |