| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
28,111 |
23,287 |
$3.35M |
| 90832 |
Psychotherapy, 30 minutes with patient |
10,683 |
4,724 |
$320K |
| G9012 |
Other specified case management service not elsewhere classified |
1,582 |
512 |
$82K |
| 96127 |
|
18,366 |
11,520 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,647 |
8,494 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,707 |
9,263 |
$23K |
| 90686 |
|
482 |
376 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
898 |
691 |
$5K |
| 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 |
80 |
67 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
23 |
12 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,230 |
1,122 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
940 |
593 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
293 |
212 |
$761.15 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
74 |
59 |
$479.72 |
| 90715 |
|
13 |
13 |
$464.01 |
| 0011A |
|
12 |
12 |
$442.00 |
| 86580 |
|
117 |
116 |
$390.82 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
43 |
32 |
$86.06 |
| 82947 |
|
717 |
620 |
$19.72 |
| 90656 |
|
22 |
19 |
$16.59 |
| 81003 |
|
17 |
12 |
$16.45 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
90 |
77 |
$16.23 |
| 82962 |
|
13 |
12 |
$1.80 |
| 3080F |
|
1,253 |
1,033 |
$0.00 |
| 3075F |
|
1,528 |
1,309 |
$0.00 |
| 3074F |
|
4,302 |
3,524 |
$0.00 |
| 3079F |
|
2,783 |
2,322 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,815 |
2,950 |
$0.00 |
| 99385 |
|
17 |
12 |
$0.00 |
| 3078F |
|
3,599 |
2,979 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
15 |
14 |
$0.00 |
| 3077F |
|
1,856 |
1,513 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
20 |
14 |
$0.00 |