| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
27,995 |
22,797 |
$2.78M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,863 |
32,844 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
44,839 |
37,726 |
$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 |
123 |
92 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
356 |
302 |
$756.86 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
322 |
284 |
$592.32 |
| 92552 |
|
4,746 |
4,735 |
$447.49 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
559 |
505 |
$422.21 |
| 92081 |
|
1,132 |
1,131 |
$255.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
275 |
242 |
$217.05 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
94 |
69 |
$175.94 |
| 94760 |
|
4,472 |
3,999 |
$165.96 |
| 36415 |
Collection of venous blood by venipuncture |
16,752 |
16,316 |
$138.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
175 |
173 |
$124.05 |
| 90670 |
|
224 |
224 |
$108.00 |
| 85018 |
|
2,829 |
2,797 |
$95.17 |
| 81000 |
|
2,761 |
2,264 |
$82.56 |
| 90834 |
Psychotherapy, 45 minutes with patient |
796 |
509 |
$70.52 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
95 |
74 |
$68.68 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
989 |
984 |
$66.60 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
52 |
51 |
$60.00 |
| 82962 |
|
4,244 |
3,740 |
$55.44 |
| 90648 |
|
103 |
103 |
$36.00 |
| 99000 |
|
944 |
932 |
$32.31 |
| 90633 |
|
85 |
85 |
$27.00 |
| 90480 |
|
12 |
12 |
$18.00 |
| 90707 |
|
12 |
12 |
$9.00 |
| 90716 |
|
25 |
25 |
$9.00 |
| 3725F |
|
22,558 |
18,531 |
$0.00 |
| 99173 |
|
4,044 |
4,009 |
$0.00 |
| 1159F |
|
12,149 |
10,288 |
$0.00 |
| 3078F |
|
10,945 |
9,995 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
318 |
317 |
$0.00 |
| 1160F |
|
11,299 |
9,530 |
$0.00 |
| 81002 |
|
632 |
461 |
$0.00 |
| 3077F |
|
1,201 |
1,100 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
185 |
176 |
$0.00 |
| 18 |
F18 fdg |
3,922 |
3,310 |
$0.00 |
| 11720 |
|
50 |
50 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
101 |
98 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
468 |
283 |
$0.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
452 |
372 |
$0.00 |
| 99188 |
|
33 |
33 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
112 |
112 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
418 |
267 |
$0.00 |
| 2028F |
|
123 |
120 |
$0.00 |
| 90658 |
|
113 |
113 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$0.00 |
| 90734 |
|
42 |
42 |
$0.00 |
| 90700 |
|
32 |
32 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
17 |
17 |
$0.00 |
| 99401 |
|
15 |
15 |
$0.00 |
| 96159 |
|
15 |
15 |
$0.00 |
| 3074F |
|
10,022 |
9,219 |
$0.00 |
| 3080F |
|
212 |
191 |
$0.00 |
| 3008F |
|
15,681 |
14,004 |
$0.00 |
| 3075F |
|
2,321 |
2,195 |
$0.00 |
| 1126F |
|
12,359 |
11,097 |
$0.00 |
| 2001F |
|
1,439 |
1,381 |
$0.00 |
| 3353F |
|
5,865 |
5,344 |
$0.00 |
| 2010F |
|
17,153 |
15,119 |
$0.00 |
| 3351F |
|
17,537 |
14,965 |
$0.00 |
| 1125F |
|
2,013 |
1,931 |
$0.00 |
| 3079F |
|
2,708 |
2,533 |
$0.00 |
| 90686 |
|
697 |
696 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,561 |
1,009 |
$0.00 |
| 3011F |
|
122 |
121 |
$0.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
367 |
278 |
$0.00 |
| 1036F |
|
1,161 |
1,086 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
1,282 |
1,246 |
$0.00 |
| 90674 |
|
52 |
52 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
26 |
$0.00 |
| 96156 |
|
128 |
109 |
$0.00 |
| 99403 |
|
117 |
94 |
$0.00 |
| 1170F |
|
106 |
105 |
$0.00 |
| 90647 |
|
15 |
15 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
23 |
13 |
$0.00 |
| 96127 |
|
149 |
149 |
$0.00 |
| 90677 |
|
14 |
14 |
$0.00 |
| 90723 |
|
69 |
69 |
$0.00 |
| 90651 |
|
61 |
61 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
64 |
64 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
42 |
42 |
$0.00 |
| 59430 |
|
14 |
14 |
$0.00 |
| 96151 |
|
50 |
50 |
$0.00 |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
12 |
12 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
15 |
15 |
$0.00 |
| 3044F |
|
13 |
13 |
$0.00 |
| 96161 |
|
12 |
12 |
$0.00 |
| 90620 |
|
13 |
13 |
$0.00 |
| 92250 |
|
15 |
15 |
$0.00 |
| 97802 |
|
15 |
15 |
$0.00 |