| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
21,934 |
18,591 |
$2.28M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,023 |
4,594 |
$69K |
| 96156 |
|
1,471 |
1,341 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,808 |
7,753 |
$22K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
518 |
446 |
$10K |
| 90832 |
Psychotherapy, 30 minutes with patient |
103 |
70 |
$7K |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$2K |
| 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 |
427 |
367 |
$2K |
| 92551 |
|
1,147 |
1,064 |
$1K |
| 99386 |
|
125 |
116 |
$1K |
| 86480 |
|
118 |
118 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
245 |
230 |
$1K |
| 90677 |
|
20 |
17 |
$833.28 |
| 90656 |
|
28 |
28 |
$788.54 |
| 99385 |
|
217 |
207 |
$757.40 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
416 |
409 |
$636.99 |
| 86704 |
|
328 |
310 |
$617.50 |
| 90715 |
|
29 |
28 |
$561.92 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
864 |
827 |
$495.54 |
| 90686 |
|
333 |
316 |
$454.62 |
| 86706 |
|
327 |
309 |
$385.91 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
246 |
187 |
$385.09 |
| 81001 |
|
220 |
218 |
$376.25 |
| 87340 |
|
328 |
310 |
$223.41 |
| 99173 |
|
621 |
547 |
$104.69 |
| 86803 |
|
62 |
62 |
$79.80 |
| 0011A |
|
302 |
301 |
$74.04 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
170 |
168 |
$53.61 |
| 81528 |
Oncology (colorectal) screening, quantitative real-time target and signal amplification |
286 |
246 |
$0.64 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,245 |
1,178 |
$0.25 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
127 |
115 |
$0.13 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
78 |
75 |
$0.13 |
| 3078F |
|
2,336 |
2,097 |
$0.12 |
| 3074F |
|
2,479 |
2,233 |
$0.07 |
| 3079F |
|
1,048 |
956 |
$0.02 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
549 |
497 |
$0.02 |
| 3725F |
|
1,912 |
1,732 |
$0.02 |
| 3008F |
|
3,339 |
2,990 |
$0.01 |
| 2001F |
|
1,948 |
1,750 |
$0.01 |
| 3077F |
|
622 |
545 |
$0.01 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
833 |
779 |
$0.00 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
930 |
626 |
$0.00 |
| 1036F |
|
1,274 |
1,150 |
$0.00 |
| 0012A |
|
242 |
242 |
$0.00 |
| 3075F |
|
378 |
351 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
775 |
742 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
80 |
79 |
$0.00 |
| 3080F |
|
150 |
130 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
629 |
255 |
$0.00 |
| 91301 |
|
581 |
554 |
$0.00 |
| 1000F |
|
1,317 |
1,149 |
$0.00 |
| 1126F |
|
67 |
51 |
$0.00 |
| 2000F |
|
1,218 |
1,051 |
$0.00 |
| 97814 |
|
602 |
420 |
$0.00 |
| 97124 |
|
1,522 |
1,073 |
$0.00 |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
192 |
174 |
$0.00 |
| 3352F |
|
324 |
293 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
117 |
112 |
$0.00 |
| 81000 |
|
47 |
46 |
$0.00 |
| 97026 |
|
378 |
267 |
$0.00 |
| 99406 |
|
12 |
12 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
79 |
74 |
$0.00 |
| 3017F |
|
50 |
44 |
$0.00 |
| 96127 |
|
39 |
39 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
32 |
32 |
$0.00 |
| 3011F |
|
36 |
36 |
$0.00 |
| G8430 |
Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) |
48 |
46 |
$0.00 |
| 3014F |
|
54 |
52 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
14 |
14 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
920 |
897 |
$0.00 |
| 97811 |
|
927 |
683 |
$0.00 |
| 1159F |
|
282 |
244 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,546 |
1,461 |
$0.00 |
| 97810 |
|
926 |
682 |
$0.00 |
| 96160 |
|
912 |
885 |
$0.00 |
| 1160F |
|
713 |
635 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
202 |
185 |
$0.00 |
| 86708 |
|
25 |
25 |
$0.00 |
| 97813 |
|
602 |
420 |
$0.00 |
| 3016F |
|
558 |
505 |
$0.00 |
| 4551F |
|
31 |
29 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
117 |
116 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
142 |
140 |
$0.00 |
| G8938 |
Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible |
44 |
43 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
137 |
105 |
$0.00 |
| 92552 |
|
89 |
89 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
72 |
69 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
105 |
102 |
$0.00 |
| 98942 |
|
120 |
81 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
28 |
26 |
$0.00 |
| 90662 |
|
22 |
20 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
14 |
$0.00 |
| 3015F |
|
92 |
91 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
45 |
45 |
$0.00 |
| 4004F |
|
12 |
12 |
$0.00 |
| G0127 |
Trimming of dystrophic nails, any number |
25 |
25 |
$0.00 |
| 69210 |
|
16 |
16 |
$0.00 |
| 83013 |
|
12 |
12 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
14 |
13 |
$0.00 |