| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
247,974 |
228,262 |
$52.82M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
56,994 |
52,152 |
$156K |
| 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 |
13,712 |
8,784 |
$151K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
81,484 |
75,636 |
$94K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
438 |
435 |
$40K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
275 |
118 |
$15K |
| 99460 |
|
152 |
149 |
$12K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
64 |
26 |
$2K |
| 59514 |
|
12 |
12 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
17 |
16 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,228 |
3,966 |
$615.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20,333 |
20,018 |
$498.16 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,327 |
4,275 |
$422.74 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
261 |
252 |
$410.63 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
91 |
91 |
$391.22 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,090 |
3,060 |
$385.70 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
141 |
129 |
$327.99 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
186 |
183 |
$296.97 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,681 |
2,477 |
$235.21 |
| 90686 |
|
7,204 |
7,042 |
$220.45 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,367 |
1,359 |
$179.96 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
188 |
180 |
$105.96 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
81 |
79 |
$70.64 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
11,900 |
7,655 |
$64.19 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
179 |
170 |
$60.89 |
| 98926 |
|
58 |
53 |
$38.54 |
| 90723 |
|
1,120 |
1,103 |
$27.52 |
| 90680 |
|
705 |
693 |
$27.51 |
| 90648 |
|
1,714 |
1,683 |
$27.51 |
| 90670 |
|
2,031 |
1,999 |
$27.51 |
| 90677 |
|
90 |
90 |
$0.01 |
| 3008F |
|
29,362 |
27,931 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,009 |
1,000 |
$0.00 |
| 3074F |
|
2,571 |
2,479 |
$0.00 |
| 90474 |
|
773 |
759 |
$0.00 |
| 96127 |
|
668 |
635 |
$0.00 |
| 3079F |
|
698 |
674 |
$0.00 |
| 99172 |
|
1,250 |
1,217 |
$0.00 |
| 91305 |
|
27 |
27 |
$0.00 |
| 90716 |
|
106 |
106 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
243 |
192 |
$0.00 |
| 3080F |
|
14 |
12 |
$0.00 |
| 90651 |
|
258 |
252 |
$0.00 |
| 99383 |
|
185 |
175 |
$0.00 |
| 90656 |
|
82 |
82 |
$0.00 |
| 90647 |
|
104 |
104 |
$0.00 |
| 3075F |
|
42 |
41 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
15 |
15 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 99384 |
|
38 |
38 |
$0.00 |
| 90674 |
|
19 |
19 |
$0.00 |
| 4010F |
|
34 |
30 |
$0.00 |
| 90480 |
|
113 |
113 |
$0.00 |
| 99381 |
|
39 |
37 |
$0.00 |
| 99443 |
|
50 |
45 |
$0.00 |
| 90715 |
|
66 |
65 |
$0.00 |
| 1160F |
|
3,239 |
3,102 |
$0.00 |
| 1159F |
|
3,234 |
3,097 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$0.00 |
| 3078F |
|
1,103 |
1,062 |
$0.00 |
| 3077F |
|
87 |
82 |
$0.00 |
| 90734 |
|
114 |
112 |
$0.00 |
| 90714 |
|
26 |
26 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
250 |
232 |
$0.00 |
| 90713 |
|
137 |
137 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90662 |
|
24 |
14 |
$0.00 |
| 90633 |
|
465 |
457 |
$0.00 |
| 91322 |
|
46 |
46 |
$0.00 |
| 90746 |
|
12 |
12 |
$0.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
14 |
13 |
$0.00 |
| 0502F |
|
217 |
149 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
42 |
42 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |
| 91321 |
|
15 |
15 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
114 |
72 |
$0.00 |
| 90756 |
|
87 |
83 |
$0.00 |
| 90700 |
|
29 |
29 |
$0.00 |
| 90661 |
|
106 |
106 |
$0.00 |
| 90671 |
|
12 |
12 |
$0.00 |
| 99382 |
|
15 |
15 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
680 |
410 |
$-87.68 |
| 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 |
454 |
281 |
$-1011.13 |