| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
65,438 |
55,596 |
$9.40M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
77,616 |
62,382 |
$92K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,109 |
674 |
$47K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,595 |
969 |
$33K |
| 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 |
769 |
659 |
$20K |
| 90834 |
Psychotherapy, 45 minutes with patient |
932 |
462 |
$19K |
| 90686 |
|
5,026 |
4,662 |
$7K |
| 90791 |
Psychiatric diagnostic evaluation |
103 |
80 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,270 |
1,123 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,574 |
1,345 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,595 |
1,808 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,510 |
3,010 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
506 |
437 |
$651.36 |
| 85018 |
|
4,842 |
4,365 |
$604.77 |
| 92552 |
|
4,213 |
3,876 |
$594.72 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,299 |
3,944 |
$528.65 |
| 80053 |
Comprehensive metabolic panel |
3,939 |
3,673 |
$333.23 |
| 80061 |
Lipid panel |
4,270 |
4,007 |
$294.07 |
| 92015 |
Determination of refractive state |
4,313 |
3,969 |
$285.48 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,760 |
1,630 |
$276.56 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,762 |
1,632 |
$275.18 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
16,043 |
15,179 |
$269.72 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,709 |
4,443 |
$237.95 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$202.65 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
18 |
14 |
$184.10 |
| 4037F |
|
155 |
147 |
$164.43 |
| 99383 |
|
41 |
25 |
$162.84 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
423 |
275 |
$137.36 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$125.36 |
| 99408 |
|
9,236 |
8,745 |
$123.83 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,142 |
1,929 |
$120.24 |
| 3725F |
|
19,534 |
18,527 |
$118.14 |
| 1036F |
|
16,788 |
15,962 |
$117.99 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
108 |
108 |
$93.00 |
| 90633 |
|
590 |
544 |
$90.00 |
| 90670 |
|
463 |
417 |
$81.00 |
| 3078F |
|
10,516 |
9,174 |
$70.47 |
| 3008F |
|
31,440 |
27,565 |
$46.98 |
| 3074F |
|
9,729 |
8,543 |
$46.98 |
| 90734 |
|
180 |
163 |
$45.00 |
| 90744 |
|
195 |
153 |
$36.00 |
| 90698 |
|
393 |
313 |
$36.00 |
| 92250 |
|
279 |
197 |
$32.86 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
632 |
583 |
$30.33 |
| 97802 |
|
2,045 |
1,878 |
$30.05 |
| G9920 |
Screening performed and negative |
188 |
152 |
$29.00 |
| 90651 |
|
279 |
255 |
$27.00 |
| 90680 |
|
68 |
55 |
$27.00 |
| 3079F |
|
1,133 |
962 |
$23.49 |
| 2001F |
|
855 |
688 |
$23.49 |
| 99406 |
|
145 |
143 |
$20.62 |
| 83655 |
|
374 |
312 |
$19.26 |
| 90696 |
|
43 |
43 |
$18.00 |
| 90648 |
|
32 |
28 |
$18.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
649 |
616 |
$14.98 |
| 86592 |
|
1,108 |
1,044 |
$14.51 |
| 81025 |
|
225 |
217 |
$13.91 |
| 86803 |
|
307 |
284 |
$11.40 |
| 90710 |
|
265 |
240 |
$9.00 |
| 90685 |
|
61 |
61 |
$9.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,774 |
1,635 |
$8.83 |
| 99000 |
|
384 |
362 |
$7.19 |
| 82948 |
|
450 |
419 |
$5.36 |
| 81002 |
|
90 |
79 |
$1.72 |
| 3075F |
|
722 |
646 |
$0.00 |
| 90677 |
|
281 |
191 |
$0.00 |
| 96156 |
|
138 |
137 |
$0.00 |
| 4000F |
|
272 |
269 |
$0.00 |
| 82043 |
|
599 |
558 |
$0.00 |
| 1034F |
|
329 |
296 |
$0.00 |
| 84105 |
|
218 |
207 |
$0.00 |
| 86706 |
|
230 |
219 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
425 |
413 |
$0.00 |
| 87340 |
|
218 |
207 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
290 |
285 |
$0.00 |
| 88142 |
|
142 |
133 |
$0.00 |
| 87428 |
|
188 |
154 |
$0.00 |
| 87480 |
|
57 |
52 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
12 |
$0.00 |
| 86704 |
|
208 |
198 |
$0.00 |
| 1111F |
|
198 |
154 |
$0.00 |
| 93000 |
|
77 |
77 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
107 |
102 |
$0.00 |
| 90674 |
|
37 |
37 |
$0.00 |
| 81001 |
|
91 |
82 |
$0.00 |
| 99385 |
|
44 |
39 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
13 |
13 |
$0.00 |
| 90620 |
|
36 |
29 |
$0.00 |
| 2033F |
|
177 |
136 |
$0.00 |
| J3490 |
Unclassified drugs |
13 |
12 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
13 |
12 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
14 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,072 |
983 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
193 |
191 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
533 |
519 |
$0.00 |
| 83037 |
|
900 |
815 |
$0.00 |
| 3077F |
|
154 |
138 |
$0.00 |
| 99442 |
|
1,225 |
1,126 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
156 |
102 |
$0.00 |
| 82274 |
|
221 |
178 |
$0.00 |
| 82570 |
|
586 |
545 |
$0.00 |
| 91312 |
|
40 |
38 |
$0.00 |
| Z6400 |
|
83 |
83 |
$0.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
170 |
169 |
$0.00 |
| 99401 |
|
80 |
80 |
$0.00 |
| 2028F |
|
361 |
333 |
$0.00 |
| 2026F |
|
58 |
49 |
$0.00 |
| 90461 |
|
563 |
507 |
$0.00 |
| 90715 |
|
24 |
24 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
18 |
$0.00 |
| 4025F |
|
13 |
12 |
$0.00 |
| 90473 |
|
16 |
12 |
$0.00 |
| 86703 |
|
39 |
39 |
$0.00 |
| 86705 |
|
12 |
12 |
$0.00 |
| 99382 |
|
12 |
12 |
$0.00 |
| 82947 |
|
14 |
12 |
$0.00 |