| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
61,675 |
52,140 |
$6.15M |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16,285 |
11,615 |
$178K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40,758 |
24,321 |
$139K |
| 59425 |
|
1,823 |
1,311 |
$132K |
| 90791 |
Psychiatric diagnostic evaluation |
774 |
464 |
$70K |
| 90746 |
|
966 |
879 |
$58K |
| 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 |
796 |
673 |
$45K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,150 |
1,197 |
$42K |
| D1206 |
Topical application of fluoride varnish |
2,597 |
1,769 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,649 |
8,106 |
$30K |
| 96127 |
|
10,203 |
6,542 |
$27K |
| J3490 |
Unclassified drugs |
585 |
457 |
$25K |
| 90686 |
|
6,260 |
4,473 |
$23K |
| 90832 |
Psychotherapy, 30 minutes with patient |
505 |
282 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,039 |
4,179 |
$22K |
| 99173 |
|
9,737 |
6,458 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,394 |
1,655 |
$11K |
| 0011A |
|
102 |
102 |
$7K |
| 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 |
122 |
106 |
$7K |
| 99381 |
|
468 |
436 |
$6K |
| 81003 |
|
5,378 |
3,089 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
523 |
339 |
$5K |
| 81025 |
|
2,391 |
1,793 |
$5K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
134 |
133 |
$4K |
| 99188 |
|
505 |
326 |
$4K |
| 90715 |
|
884 |
593 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
602 |
363 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,228 |
2,667 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,548 |
2,827 |
$3K |
| 96156 |
|
204 |
202 |
$3K |
| 0500F |
|
57 |
44 |
$2K |
| 0012A |
|
29 |
29 |
$2K |
| 97802 |
|
12 |
12 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,061 |
1,890 |
$2K |
| 92552 |
|
10,278 |
6,587 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
115 |
76 |
$1K |
| 97803 |
|
46 |
46 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
27 |
13 |
$1K |
| 99401 |
|
81 |
81 |
$977.32 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
43 |
43 |
$293.58 |
| 99383 |
|
77 |
55 |
$263.20 |
| 90620 |
|
241 |
152 |
$156.00 |
| 87210 |
|
15 |
15 |
$64.05 |
| 85018 |
|
6,935 |
6,527 |
$29.01 |
| 90698 |
|
2,162 |
1,481 |
$20.60 |
| 82947 |
|
792 |
694 |
$18.37 |
| 3074F |
|
11,877 |
10,411 |
$0.00 |
| 90651 |
|
2,528 |
1,584 |
$0.00 |
| 99384 |
|
36 |
27 |
$0.00 |
| 3079F |
|
1,834 |
1,670 |
$0.00 |
| 90744 |
|
1,973 |
1,410 |
$0.00 |
| 90716 |
|
789 |
515 |
$0.00 |
| 3075F |
|
869 |
796 |
$0.00 |
| Z1034 |
|
2,271 |
1,774 |
$0.00 |
| 90696 |
|
323 |
189 |
$0.00 |
| 90656 |
|
204 |
201 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,792 |
1,485 |
$0.00 |
| Z1032 |
|
56 |
56 |
$0.00 |
| 90619 |
|
585 |
363 |
$0.00 |
| Z6402 |
|
51 |
51 |
$0.00 |
| Z6204 |
|
68 |
67 |
$0.00 |
| 90688 |
|
45 |
45 |
$0.00 |
| 90677 |
|
413 |
311 |
$0.00 |
| 3080F |
|
109 |
89 |
$0.00 |
| Z6406 |
|
39 |
39 |
$0.00 |
| 90723 |
|
43 |
42 |
$0.00 |
| 92551 |
|
22 |
22 |
$0.00 |
| 82962 |
|
14 |
12 |
$0.00 |
| 90633 |
|
2,143 |
1,447 |
$0.00 |
| 3078F |
|
11,613 |
10,198 |
$0.00 |
| 0502F |
|
1,681 |
1,284 |
$0.00 |
| 90681 |
|
674 |
470 |
$0.00 |
| 96160 |
|
1,224 |
1,149 |
$0.00 |
| 3077F |
|
660 |
568 |
$0.00 |
| 90707 |
|
380 |
230 |
$0.00 |
| Z6400 |
|
489 |
487 |
$0.00 |
| 90734 |
|
981 |
621 |
$0.00 |
| 90670 |
|
2,326 |
1,610 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
48 |
43 |
$0.00 |
| 90648 |
|
90 |
88 |
$0.00 |
| 90710 |
|
409 |
250 |
$0.00 |
| 90713 |
|
74 |
51 |
$0.00 |
| Z6200 |
|
51 |
51 |
$0.00 |
| 90700 |
|
147 |
89 |
$0.00 |
| Z6300 |
|
51 |
51 |
$0.00 |
| Z6304 |
|
38 |
38 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
37 |
20 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
19 |
13 |
$0.00 |