| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
56,948 |
47,780 |
$1.50M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,951 |
32,608 |
$459K |
| 90832 |
Psychotherapy, 30 minutes with patient |
8,114 |
4,747 |
$349K |
| 98940 |
|
449 |
340 |
$35K |
| 11721 |
|
1,010 |
1,009 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,307 |
5,932 |
$27K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
205 |
205 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
343 |
343 |
$20K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
284 |
164 |
$20K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
143 |
99 |
$18K |
| 99307 |
|
632 |
585 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,274 |
3,176 |
$12K |
| 90791 |
Psychiatric diagnostic evaluation |
80 |
80 |
$10K |
| 90834 |
Psychotherapy, 45 minutes with patient |
513 |
394 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,136 |
1,103 |
$6K |
| 90686 |
|
212 |
212 |
$4K |
| 99205 |
Prolong outpt/office vis |
77 |
77 |
$4K |
| 90658 |
|
569 |
564 |
$4K |
| 90688 |
|
221 |
221 |
$4K |
| 0011A |
|
87 |
82 |
$3K |
| 0012A |
|
62 |
60 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
141 |
131 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,390 |
1,380 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
141 |
141 |
$1K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
47 |
37 |
$1K |
| 0013A |
|
16 |
16 |
$839.25 |
| 92551 |
|
353 |
352 |
$708.84 |
| 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 |
144 |
124 |
$667.90 |
| 0031A |
|
14 |
14 |
$560.00 |
| 92552 |
|
145 |
144 |
$293.46 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
192 |
192 |
$197.12 |
| 3075F |
|
274 |
271 |
$156.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
615 |
488 |
$138.93 |
| 99201 |
|
98 |
81 |
$136.02 |
| 90670 |
|
27 |
25 |
$99.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$98.74 |
| 92015 |
Determination of refractive state |
470 |
468 |
$87.23 |
| G0008 |
Administration of influenza virus vaccine |
728 |
704 |
$75.55 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
69 |
67 |
$74.04 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,519 |
1,374 |
$70.23 |
| 92081 |
|
764 |
760 |
$65.57 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
325 |
321 |
$48.48 |
| 92002 |
|
12 |
12 |
$36.78 |
| 93000 |
|
60 |
59 |
$28.41 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
76 |
69 |
$18.41 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
5,611 |
5,069 |
$15.11 |
| 85018 |
|
57 |
55 |
$5.40 |
| 3079F |
|
1,963 |
1,921 |
$0.00 |
| 3074F |
|
8,850 |
8,192 |
$0.00 |
| 86580 |
|
12 |
12 |
$0.00 |
| 81000 |
|
73 |
61 |
$0.00 |
| D1330 |
|
28 |
28 |
$0.00 |
| 3080F |
|
467 |
446 |
$0.00 |
| 1126F |
|
147 |
131 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
378 |
335 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
18 |
18 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
13 |
13 |
$0.00 |
| 90698 |
|
16 |
14 |
$0.00 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
38 |
38 |
$0.00 |
| 99406 |
|
24 |
24 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
12 |
12 |
$0.00 |
| 3078F |
|
7,847 |
7,273 |
$0.00 |
| 1159F |
|
4,530 |
4,148 |
$0.00 |
| 1160F |
|
4,539 |
4,152 |
$0.00 |
| 3077F |
|
851 |
805 |
$0.00 |
| 92341 |
|
31 |
31 |
$0.00 |
| 92553 |
|
27 |
27 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
45 |
42 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
33 |
32 |
$0.00 |
| 81025 |
|
18 |
17 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12 |
12 |
$0.00 |
| V2020 |
Frames, purchases |
72 |
72 |
$0.00 |