| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
27,784 |
19,781 |
$5.37M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46,785 |
43,293 |
$1.13M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,580 |
7,121 |
$184K |
| 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 |
2,377 |
1,010 |
$106K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,561 |
2,534 |
$84K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,520 |
2,472 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,577 |
8,641 |
$81K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,780 |
1,772 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,026 |
1,010 |
$31K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,078 |
1,053 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
307 |
306 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,043 |
995 |
$10K |
| 90834 |
Psychotherapy, 45 minutes with patient |
8,743 |
6,688 |
$10K |
| 90461 |
|
272 |
264 |
$5K |
| 90686 |
|
1,148 |
1,108 |
$5K |
| 90677 |
|
73 |
67 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
117 |
113 |
$4K |
| 0031A |
|
92 |
91 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,261 |
2,835 |
$1K |
| 0011A |
|
80 |
80 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
36 |
35 |
$1K |
| 99442 |
|
704 |
661 |
$996.88 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
69 |
66 |
$980.40 |
| 90474 |
|
100 |
98 |
$963.48 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
66 |
58 |
$893.98 |
| 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 |
4,459 |
3,731 |
$857.07 |
| 0012A |
|
24 |
24 |
$762.88 |
| 99383 |
|
15 |
15 |
$594.13 |
| 90791 |
Psychiatric diagnostic evaluation |
1,277 |
1,250 |
$448.77 |
| 90651 |
|
12 |
12 |
$268.02 |
| 99381 |
|
26 |
24 |
$239.15 |
| 90670 |
|
240 |
229 |
$226.43 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
136 |
125 |
$187.96 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,384 |
383 |
$164.50 |
| 90681 |
|
101 |
99 |
$134.72 |
| 99441 |
|
106 |
94 |
$110.96 |
| 90633 |
|
88 |
87 |
$73.84 |
| 99215 |
Prolong outpt/office vis |
805 |
748 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
23 |
23 |
$0.00 |
| 90744 |
|
71 |
69 |
$0.00 |
| 99443 |
|
524 |
475 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
26 |
$0.00 |
| 90698 |
|
64 |
64 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
13 |
13 |
$0.00 |