| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
19,747 |
12,481 |
$1.76M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,070 |
8,048 |
$301K |
| 90837 |
Psychotherapy, 53 minutes with patient |
5,338 |
1,231 |
$180K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
914 |
490 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,283 |
714 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
411 |
230 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
1,777 |
957 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
103 |
76 |
$1K |
| 90686 |
|
315 |
168 |
$1K |
| 80305 |
|
303 |
120 |
$979.92 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
71 |
40 |
$934.32 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
211 |
99 |
$576.57 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
78 |
55 |
$388.93 |
| 81003 |
|
463 |
198 |
$311.46 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
42 |
14 |
$248.57 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
15 |
$232.20 |
| 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 |
14 |
12 |
$160.40 |
| 90661 |
|
20 |
19 |
$132.01 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
5,747 |
2,903 |
$0.00 |
| 4004F |
|
815 |
440 |
$0.00 |
| 3078F |
|
7,125 |
3,690 |
$0.00 |
| 3077F |
|
774 |
369 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
126 |
57 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$0.00 |
| 3079F |
|
4,427 |
2,276 |
$0.00 |
| 3008F |
|
6,569 |
3,296 |
$0.00 |
| 3074F |
|
6,659 |
3,452 |
$0.00 |
| 1036F |
|
2,187 |
1,113 |
$0.00 |
| 1111F |
|
2,130 |
865 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
5,886 |
2,974 |
$0.00 |
| 3075F |
|
916 |
503 |
$0.00 |
| 2001F |
|
2,404 |
1,008 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
91 |
39 |
$0.00 |
| 3080F |
|
112 |
42 |
$0.00 |