| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
25,216 |
19,849 |
$1.82M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,341 |
19,781 |
$84K |
| 98940 |
|
2,228 |
1,634 |
$51K |
| 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 |
1,109 |
943 |
$23K |
| 92552 |
|
5,579 |
4,310 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
845 |
634 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,733 |
1,507 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
653 |
549 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,517 |
1,157 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
174 |
103 |
$2K |
| 85018 |
|
6,327 |
4,652 |
$2K |
| 81002 |
|
7,671 |
5,668 |
$2K |
| 96156 |
|
2,506 |
1,717 |
$2K |
| 90686 |
|
1,536 |
1,316 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,980 |
1,424 |
$2K |
| 90673 |
|
149 |
104 |
$991.54 |
| 99173 |
|
3,609 |
2,478 |
$953.16 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
132 |
82 |
$754.02 |
| 93000 |
|
223 |
167 |
$660.10 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
16 |
12 |
$583.55 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
267 |
176 |
$499.88 |
| 82948 |
|
1,358 |
1,006 |
$379.40 |
| 90715 |
|
143 |
125 |
$283.80 |
| 96127 |
|
473 |
318 |
$203.03 |
| 90658 |
|
33 |
27 |
$131.60 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$116.74 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
124 |
86 |
$111.02 |
| 99000 |
|
3,073 |
1,781 |
$108.34 |
| 81025 |
|
269 |
144 |
$92.40 |
| 90656 |
|
394 |
260 |
$72.69 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$54.00 |
| 94760 |
|
20 |
18 |
$16.77 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
610 |
390 |
$0.54 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
42 |
25 |
$0.06 |
| 90707 |
|
14 |
13 |
$0.00 |
| 3078F |
|
2,887 |
2,164 |
$0.00 |
| 3077F |
|
224 |
174 |
$0.00 |
| 2028F |
|
156 |
133 |
$0.00 |
| 90734 |
|
59 |
53 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
178 |
119 |
$0.00 |
| 90713 |
|
15 |
14 |
$0.00 |
| 91322 |
|
17 |
12 |
$0.00 |
| 97014 |
|
63 |
48 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,180 |
966 |
$0.00 |
| 3074F |
|
3,037 |
2,264 |
$0.00 |
| 3079F |
|
896 |
683 |
$0.00 |
| 90651 |
|
75 |
49 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
115 |
108 |
$0.00 |
| 3075F |
|
567 |
437 |
$0.00 |
| 97124 |
|
93 |
68 |
$0.00 |
| 3080F |
|
142 |
104 |
$0.00 |
| 90674 |
|
17 |
17 |
$0.00 |
| 90620 |
|
42 |
38 |
$0.00 |
| 3044F |
|
19 |
16 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
20 |
13 |
$0.00 |