| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
87,824 |
74,357 |
$18.15M |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,160 |
1,388 |
$393K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,032 |
9,467 |
$294K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
56,729 |
36,657 |
$260K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
11,477 |
4,164 |
$96K |
| 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 |
3,935 |
2,621 |
$82K |
| 98940 |
|
7,649 |
3,635 |
$70K |
| 99215 |
Prolong outpt/office vis |
260 |
248 |
$43K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
232 |
231 |
$30K |
| 90834 |
Psychotherapy, 45 minutes with patient |
289 |
174 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,556 |
2,240 |
$28K |
| 90791 |
Psychiatric diagnostic evaluation |
94 |
93 |
$13K |
| 0011A |
|
207 |
105 |
$11K |
| 92551 |
|
1,563 |
1,039 |
$10K |
| 0012A |
|
163 |
83 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
174 |
135 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,792 |
2,644 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,764 |
1,295 |
$5K |
| 0064A |
|
79 |
42 |
$4K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
336 |
326 |
$4K |
| 90677 |
|
616 |
427 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,860 |
1,972 |
$3K |
| 90686 |
|
2,061 |
1,478 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
239 |
198 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
518 |
366 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,036 |
741 |
$1K |
| 90670 |
|
1,241 |
989 |
$1K |
| 90697 |
|
1,109 |
823 |
$824.21 |
| 99381 |
|
38 |
25 |
$770.61 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
642 |
416 |
$758.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
271 |
212 |
$500.72 |
| 99000 |
|
9,878 |
8,454 |
$412.62 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
439 |
335 |
$282.82 |
| 90633 |
|
1,233 |
888 |
$261.00 |
| 99406 |
|
3,910 |
2,600 |
$217.95 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,139 |
711 |
$197.41 |
| 90723 |
|
210 |
178 |
$144.00 |
| 90647 |
|
302 |
261 |
$126.00 |
| 99385 |
|
607 |
329 |
$114.10 |
| 90680 |
|
112 |
96 |
$99.00 |
| 90651 |
|
348 |
270 |
$99.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,022 |
714 |
$92.14 |
| H0049 |
Alcohol and/or drug screening |
674 |
520 |
$72.00 |
| 90734 |
|
60 |
47 |
$62.03 |
| 81002 |
|
1,102 |
715 |
$55.88 |
| 99401 |
|
9,975 |
6,668 |
$50.57 |
| 90715 |
|
112 |
91 |
$45.00 |
| 90710 |
|
276 |
201 |
$45.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,571 |
1,603 |
$31.99 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
624 |
356 |
$29.68 |
| G9920 |
Screening performed and negative |
651 |
460 |
$29.00 |
| 90696 |
|
270 |
187 |
$27.00 |
| 90707 |
|
68 |
57 |
$18.00 |
| 90700 |
|
49 |
40 |
$18.00 |
| 90681 |
|
42 |
40 |
$17.91 |
| 90619 |
|
77 |
59 |
$9.00 |
| 85018 |
|
169 |
122 |
$5.85 |
| 96160 |
|
39 |
20 |
$0.47 |
| 3077F |
|
1,279 |
891 |
$0.00 |
| 3078F |
|
1,853 |
1,238 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
796 |
778 |
$0.00 |
| 1159F |
|
485 |
325 |
$0.00 |
| 1160F |
|
919 |
577 |
$0.00 |
| 99173 |
|
133 |
132 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
61 |
42 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
113 |
68 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
217 |
133 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
142 |
96 |
$0.00 |
| 3051F |
|
40 |
27 |
$0.00 |
| 90461 |
|
62 |
53 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
23 |
15 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
81 |
55 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
58 |
58 |
$0.00 |
| 98960 |
|
23 |
22 |
$0.00 |
| 81003 |
|
55 |
29 |
$0.00 |
| 3074F |
|
2,370 |
1,607 |
$0.00 |
| 3079F |
|
2,010 |
1,419 |
$0.00 |
| 3080F |
|
765 |
562 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
3,212 |
2,079 |
$0.00 |
| 81001 |
|
229 |
169 |
$0.00 |
| 3075F |
|
991 |
710 |
$0.00 |
| 99386 |
|
373 |
212 |
$0.00 |
| 3044F |
|
279 |
220 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
121 |
88 |
$0.00 |
| 1126F |
|
294 |
170 |
$0.00 |
| 90716 |
|
54 |
42 |
$0.00 |
| 3017F |
|
32 |
19 |
$0.00 |
| 1125F |
|
192 |
117 |
$0.00 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
188 |
184 |
$0.00 |
| 3052F |
|
20 |
12 |
$0.00 |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
22 |
14 |
$0.00 |