| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
52,966 |
41,203 |
$5.82M |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
586 |
480 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,990 |
5,044 |
$19K |
| 99401 |
|
721 |
644 |
$14K |
| 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 |
217 |
190 |
$7K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
165 |
162 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,014 |
889 |
$4K |
| 81002 |
|
9,492 |
7,294 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
537 |
494 |
$3K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
344 |
309 |
$2K |
| 97802 |
|
150 |
148 |
$2K |
| 97803 |
|
185 |
183 |
$2K |
| 90686 |
|
691 |
640 |
$790.81 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
506 |
482 |
$779.22 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
18 |
18 |
$744.84 |
| 96156 |
|
874 |
801 |
$729.21 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
353 |
329 |
$722.81 |
| 90715 |
|
321 |
305 |
$579.98 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
759 |
632 |
$458.42 |
| S9452 |
Nutrition classes, non-physician provider, per session |
40 |
40 |
$353.32 |
| H2000 |
Comprehensive multidisciplinary evaluation |
12 |
12 |
$249.01 |
| 85018 |
|
473 |
432 |
$241.45 |
| 81025 |
|
759 |
686 |
$135.65 |
| 90698 |
|
351 |
334 |
$127.39 |
| 90670 |
|
420 |
398 |
$72.00 |
| 99173 |
|
14 |
14 |
$56.42 |
| 90832 |
Psychotherapy, 30 minutes with patient |
441 |
237 |
$52.87 |
| 3078F |
|
245 |
226 |
$42.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
162 |
156 |
$27.00 |
| 90734 |
|
27 |
24 |
$18.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,869 |
1,793 |
$17.80 |
| Z1032 |
|
637 |
637 |
$0.00 |
| Z1034 |
|
7,951 |
6,170 |
$0.00 |
| Z6402 |
|
1,359 |
1,346 |
$0.00 |
| Z6410 |
|
1,575 |
1,375 |
$0.00 |
| Z6406 |
|
1,324 |
1,280 |
$0.00 |
| 90680 |
|
220 |
210 |
$0.00 |
| 90716 |
|
92 |
85 |
$0.00 |
| 90744 |
|
255 |
243 |
$0.00 |
| Z6204 |
|
1,131 |
1,121 |
$0.00 |
| Z1038 |
|
209 |
206 |
$0.00 |
| 3074F |
|
354 |
327 |
$0.00 |
| 90651 |
|
43 |
42 |
$0.00 |
| 99381 |
|
388 |
381 |
$0.00 |
| Z6200 |
|
1,317 |
1,306 |
$0.00 |
| Z6208 |
|
545 |
543 |
$0.00 |
| Z6400 |
|
1,485 |
1,470 |
$0.00 |
| Z6414 |
|
609 |
603 |
$0.00 |
| Z6304 |
|
1,244 |
1,238 |
$0.00 |
| Z6300 |
|
1,339 |
1,326 |
$0.00 |
| 90707 |
|
81 |
74 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
640 |
636 |
$0.00 |
| Z6308 |
|
592 |
588 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
32 |
29 |
$0.00 |
| 90633 |
|
135 |
125 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$0.00 |
| 99188 |
|
20 |
20 |
$0.00 |
| 59425 |
|
13 |
12 |
$0.00 |
| 90685 |
|
25 |
25 |
$0.00 |