| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
19,603 |
10,701 |
$2.57M |
| 90832 |
Psychotherapy, 30 minutes with patient |
20,157 |
6,259 |
$601K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,125 |
829 |
$130K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,128 |
14,217 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,432 |
3,834 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,046 |
3,352 |
$8K |
| 97810 |
|
2,750 |
1,036 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
59 |
53 |
$4K |
| 97811 |
|
2,555 |
962 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
240 |
240 |
$3K |
| 97813 |
|
1,653 |
566 |
$3K |
| 99215 |
Prolong outpt/office vis |
400 |
381 |
$2K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
7,232 |
2,348 |
$2K |
| 82947 |
|
3,153 |
2,740 |
$1K |
| 97814 |
|
1,438 |
520 |
$1K |
| 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 |
17 |
12 |
$1K |
| 90674 |
|
498 |
496 |
$1K |
| 90746 |
|
142 |
141 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
60 |
60 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
229 |
227 |
$790.52 |
| 97802 |
|
109 |
109 |
$733.30 |
| J3490 |
Unclassified drugs |
30 |
30 |
$636.52 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
233 |
185 |
$569.86 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
42 |
42 |
$558.00 |
| 92551 |
|
489 |
487 |
$549.02 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
184 |
133 |
$471.77 |
| 90686 |
|
498 |
497 |
$460.00 |
| 90633 |
|
59 |
59 |
$444.00 |
| 92552 |
|
534 |
337 |
$403.98 |
| 90715 |
|
88 |
88 |
$394.20 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
209 |
157 |
$375.09 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
340 |
215 |
$359.29 |
| 90658 |
|
44 |
44 |
$326.79 |
| 90670 |
|
15 |
15 |
$277.58 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,195 |
1,191 |
$275.22 |
| 90648 |
|
28 |
28 |
$258.79 |
| 88142 |
|
156 |
156 |
$216.68 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
463 |
363 |
$177.28 |
| 97803 |
|
14 |
14 |
$164.50 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
178 |
178 |
$163.49 |
| 94760 |
|
311 |
284 |
$149.54 |
| 82948 |
|
425 |
398 |
$127.14 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
33 |
28 |
$120.06 |
| 99173 |
|
914 |
735 |
$103.83 |
| 99385 |
|
15 |
15 |
$103.42 |
| 90710 |
|
12 |
12 |
$96.00 |
| 92250 |
|
17 |
16 |
$88.48 |
| 90651 |
|
127 |
123 |
$73.00 |
| 99401 |
|
28 |
28 |
$62.41 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
61 |
60 |
$55.30 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$52.75 |
| 81025 |
|
176 |
170 |
$45.22 |
| 90734 |
|
76 |
73 |
$45.00 |
| 85018 |
|
346 |
289 |
$37.79 |
| 90685 |
|
29 |
29 |
$18.00 |
| 81000 |
|
477 |
425 |
$9.11 |
| 87449 |
|
14 |
14 |
$8.82 |
| 83655 |
|
14 |
14 |
$6.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
68 |
46 |
$0.00 |
| 99397 |
|
45 |
45 |
$0.00 |
| 90636 |
|
26 |
26 |
$0.00 |
| 90688 |
|
18 |
18 |
$0.00 |