| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
21,485 |
12,293 |
$5.42M |
| 96156 |
|
4,950 |
4,066 |
$212K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,428 |
5,397 |
$181K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,674 |
3,959 |
$180K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,758 |
1,030 |
$73K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
748 |
541 |
$48K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
832 |
694 |
$43K |
| 99215 |
Prolong outpt/office vis |
285 |
161 |
$13K |
| 99205 |
Prolong outpt/office vis |
113 |
71 |
$12K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
735 |
732 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
282 |
190 |
$11K |
| 97802 |
|
1,327 |
1,318 |
$9K |
| 0900 |
|
55 |
28 |
$8K |
| 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 |
48 |
25 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
962 |
947 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
426 |
272 |
$5K |
| 98960 |
|
205 |
204 |
$4K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
204 |
204 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
104 |
103 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
338 |
201 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
670 |
665 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
329 |
208 |
$2K |
| 92551 |
|
522 |
522 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
10,447 |
3,880 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
545 |
522 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
143 |
140 |
$1K |
| 81001 |
|
872 |
868 |
$1K |
| 87430 |
|
220 |
217 |
$856.89 |
| 99406 |
|
444 |
442 |
$848.73 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
391 |
391 |
$833.59 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
26 |
25 |
$640.56 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
130 |
128 |
$618.08 |
| 81002 |
|
629 |
602 |
$606.09 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
39 |
39 |
$443.46 |
| 96127 |
|
600 |
596 |
$440.54 |
| 85018 |
|
534 |
529 |
$388.23 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
41 |
41 |
$352.00 |
| 90619 |
|
88 |
83 |
$234.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
12 |
$192.92 |
| 90656 |
|
67 |
67 |
$189.00 |
| 90633 |
|
28 |
28 |
$180.00 |
| 90651 |
|
61 |
59 |
$162.00 |
| 90686 |
|
32 |
32 |
$117.00 |
| 1031F |
|
503 |
501 |
$0.00 |
| 3008F |
|
642 |
631 |
$0.00 |
| 3074F |
|
234 |
231 |
$0.00 |
| 1034F |
|
341 |
341 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
88 |
88 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
28 |
28 |
$0.00 |
| 1157F |
|
246 |
245 |
$0.00 |
| 3079F |
|
31 |
31 |
$0.00 |
| 90620 |
|
28 |
27 |
$0.00 |
| 99384 |
|
19 |
12 |
$0.00 |
| 3044F |
|
24 |
24 |
$0.00 |
| 96160 |
|
480 |
463 |
$0.00 |
| 3078F |
|
166 |
164 |
$0.00 |
| 99173 |
|
126 |
126 |
$0.00 |
| 1033F |
|
493 |
491 |
$0.00 |
| G9920 |
Screening performed and negative |
31 |
31 |
$0.00 |
| 1158F |
|
73 |
73 |
$0.00 |