| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
63,005 |
42,517 |
$4.74M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44,075 |
23,783 |
$889K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16,018 |
8,084 |
$227K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,153 |
3,428 |
$172K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
8,480 |
2,061 |
$89K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,126 |
2,891 |
$83K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,296 |
1,386 |
$54K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,164 |
687 |
$53K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,752 |
966 |
$49K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,900 |
826 |
$44K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,955 |
1,052 |
$44K |
| 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 |
1,927 |
1,653 |
$32K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,184 |
551 |
$32K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,370 |
3,261 |
$17K |
| 81002 |
|
16,308 |
7,319 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,724 |
1,047 |
$13K |
| 81025 |
|
3,722 |
2,238 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
818 |
764 |
$10K |
| 99078 |
|
679 |
263 |
$10K |
| 99385 |
|
244 |
141 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,033 |
574 |
$8K |
| 90686 |
|
2,104 |
1,167 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
534 |
337 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
234 |
122 |
$6K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
198 |
81 |
$6K |
| 36416 |
|
5,619 |
3,391 |
$6K |
| 97161 |
|
277 |
109 |
$6K |
| 90670 |
|
1,455 |
829 |
$5K |
| 92551 |
|
1,823 |
979 |
$5K |
| 96127 |
|
2,934 |
1,589 |
$5K |
| 76801 |
|
164 |
105 |
$4K |
| 0011A |
|
100 |
98 |
$4K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
676 |
236 |
$3K |
| 80305 |
|
706 |
366 |
$3K |
| 99442 |
|
407 |
157 |
$3K |
| 90715 |
|
191 |
134 |
$3K |
| 0012A |
|
82 |
76 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
120 |
80 |
$3K |
| 99173 |
|
2,158 |
1,216 |
$2K |
| 59430 |
|
83 |
56 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
67 |
36 |
$2K |
| 90716 |
|
563 |
322 |
$2K |
| 97162 |
|
79 |
53 |
$1K |
| 99188 |
|
551 |
335 |
$1K |
| 82962 |
|
1,131 |
705 |
$1K |
| 99383 |
|
25 |
12 |
$822.60 |
| 97803 |
|
45 |
27 |
$764.46 |
| 90707 |
|
398 |
230 |
$663.96 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
79 |
27 |
$623.07 |
| 99381 |
|
24 |
13 |
$510.40 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
58 |
46 |
$404.32 |
| 90633 |
|
570 |
329 |
$374.60 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
24 |
20 |
$283.92 |
| 3075F |
|
220 |
134 |
$172.18 |
| 97032 |
|
45 |
15 |
$145.87 |
| 87210 |
|
91 |
66 |
$109.80 |
| 93000 |
|
49 |
39 |
$95.40 |
| 3074F |
|
1,046 |
680 |
$70.62 |
| 90647 |
|
728 |
403 |
$47.12 |
| 90723 |
|
918 |
495 |
$35.45 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
17 |
13 |
$23.76 |
| 90461 |
|
333 |
67 |
$20.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
5,464 |
3,201 |
$16.01 |
| 91301 |
|
210 |
189 |
$1.73 |
| 3078F |
|
1,083 |
679 |
$1.65 |
| 3077F |
|
606 |
377 |
$0.98 |
| 3079F |
|
633 |
420 |
$0.94 |
| 3080F |
|
366 |
264 |
$0.67 |
| 3044F |
|
188 |
160 |
$0.01 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
1,559 |
927 |
$0.00 |
| 90697 |
|
134 |
78 |
$0.00 |
| 99000 |
|
675 |
644 |
$0.00 |
| 1036F |
|
178 |
132 |
$0.00 |
| 3008F |
|
572 |
470 |
$0.00 |
| 4000F |
|
739 |
604 |
$0.00 |
| 90651 |
|
50 |
26 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
4,773 |
2,789 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
2,475 |
1,466 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
465 |
227 |
$0.00 |
| 99071 |
|
2,824 |
1,462 |
$0.00 |
| 4004F |
|
2,103 |
1,165 |
$0.00 |
| 90746 |
|
115 |
62 |
$0.00 |
| 90681 |
|
253 |
141 |
$0.00 |
| 90734 |
|
97 |
53 |
$0.00 |
| D0190 |
|
139 |
81 |
$0.00 |
| 90648 |
|
168 |
94 |
$0.00 |
| 90700 |
|
153 |
85 |
$0.00 |
| 90713 |
|
28 |
12 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
15 |
13 |
$0.00 |
| 3046F |
|
46 |
29 |
$0.00 |