| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
183,380 |
154,874 |
$23.08M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,264 |
7,629 |
$195K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49,631 |
46,184 |
$88K |
| G9920 |
Screening performed and negative |
8,558 |
8,437 |
$35K |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,988 |
3,459 |
$35K |
| 0011A |
|
264 |
264 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,095 |
17,201 |
$17K |
| 0002A |
|
209 |
209 |
$14K |
| 0001A |
|
195 |
195 |
$13K |
| 0012A |
|
183 |
183 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
603 |
602 |
$11K |
| 90791 |
Psychiatric diagnostic evaluation |
698 |
605 |
$10K |
| 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 |
457 |
396 |
$9K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,319 |
2,520 |
$8K |
| 0004A |
|
79 |
79 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,135 |
988 |
$5K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
439 |
437 |
$5K |
| 98940 |
|
1,437 |
1,108 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,541 |
7,394 |
$3K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
836 |
658 |
$3K |
| 0071A |
|
38 |
38 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
592 |
468 |
$2K |
| 0054A |
|
32 |
32 |
$2K |
| 0072A |
|
30 |
30 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
194 |
193 |
$1K |
| G9919 |
Screening performed and positive and provision of recommendations |
215 |
214 |
$942.50 |
| 81025 |
|
633 |
621 |
$770.00 |
| 99401 |
|
40 |
40 |
$762.80 |
| 0124A |
|
12 |
12 |
$737.00 |
| 86703 |
|
1,793 |
1,768 |
$723.05 |
| A4267 |
Contraceptive supply, condom, male, each |
59 |
58 |
$444.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
235 |
235 |
$413.22 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
31 |
27 |
$337.17 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
12 |
$197.30 |
| 99201 |
|
98 |
97 |
$135.30 |
| 81002 |
|
1,426 |
1,371 |
$62.78 |
| 82947 |
|
5,334 |
5,112 |
$3.30 |
| 85018 |
|
6,737 |
6,709 |
$1.51 |
| 92015 |
Determination of refractive state |
7,942 |
7,897 |
$0.97 |
| 90710 |
|
303 |
303 |
$0.00 |
| 1159F |
|
2,662 |
2,551 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,772 |
1,764 |
$0.00 |
| 96160 |
|
17,874 |
17,744 |
$0.00 |
| G0246 |
Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear, and (3) patient education |
135 |
135 |
$0.00 |
| 99173 |
|
3,892 |
3,887 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,109 |
2,109 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,665 |
5,649 |
$0.00 |
| 90734 |
|
398 |
398 |
$0.00 |
| 90461 |
|
2,475 |
2,475 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,030 |
2,027 |
$0.00 |
| 1160F |
|
951 |
909 |
$0.00 |
| 3078F |
|
664 |
629 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,670 |
2,441 |
$0.00 |
| 90633 |
|
444 |
444 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
915 |
913 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
688 |
682 |
$0.00 |
| Z6200 |
|
39 |
39 |
$0.00 |
| 3046F |
|
18 |
16 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,336 |
2,336 |
$0.00 |
| 0502F |
|
47 |
40 |
$0.00 |
| 90670 |
|
1,388 |
1,387 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
982 |
972 |
$0.00 |
| M1016 |
Female patients unable to bear children |
113 |
112 |
$0.00 |
| 90681 |
|
242 |
241 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
508 |
495 |
$0.00 |
| 99188 |
|
1,003 |
1,000 |
$0.00 |
| Z6400 |
|
1,172 |
1,137 |
$0.00 |
| Z6414 |
|
115 |
110 |
$0.00 |
| 90715 |
|
574 |
574 |
$0.00 |
| 1158F |
|
132 |
132 |
$0.00 |
| Z6304 |
|
152 |
146 |
$0.00 |
| G0117 |
Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist |
96 |
96 |
$0.00 |
| 83655 |
|
136 |
136 |
$0.00 |
| Z6302 |
|
12 |
12 |
$0.00 |
| Z6308 |
|
12 |
12 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
56 |
56 |
$0.00 |
| 99397 |
|
24 |
24 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |
| 91320 |
|
14 |
14 |
$0.00 |
| 92250 |
|
2,264 |
2,263 |
$0.00 |
| 90686 |
|
3,869 |
3,862 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,258 |
3,236 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
8,826 |
8,566 |
$0.00 |
| Z6410 |
|
1,404 |
1,325 |
$0.00 |
| 3074F |
|
680 |
646 |
$0.00 |
| Z6402 |
|
131 |
130 |
$0.00 |
| 99381 |
|
53 |
53 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
337 |
334 |
$0.00 |
| 90656 |
|
362 |
362 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
844 |
658 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,154 |
969 |
$0.00 |
| 90698 |
|
570 |
570 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
14 |
$0.00 |
| 90689 |
|
54 |
54 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,134 |
2,126 |
$0.00 |
| 90651 |
|
725 |
724 |
$0.00 |
| 92551 |
|
2,515 |
2,513 |
$0.00 |
| 3079F |
|
197 |
191 |
$0.00 |
| Z6204 |
|
511 |
477 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
268 |
266 |
$0.00 |
| 99385 |
|
72 |
72 |
$0.00 |
| 90677 |
|
161 |
160 |
$0.00 |
| 90744 |
|
308 |
308 |
$0.00 |
| Z1034 |
|
118 |
97 |
$0.00 |
| Z6406 |
|
211 |
211 |
$0.00 |
| 87650 |
|
259 |
256 |
$0.00 |
| 90620 |
|
133 |
133 |
$0.00 |
| 90619 |
|
173 |
173 |
$0.00 |
| 1123F |
|
105 |
105 |
$0.00 |
| 90739 |
|
38 |
38 |
$0.00 |
| 90696 |
|
55 |
55 |
$0.00 |
| 3044F |
|
36 |
36 |
$0.00 |
| 90697 |
|
494 |
494 |
$0.00 |
| 90480 |
|
48 |
48 |
$0.00 |
| 99384 |
|
12 |
12 |
$0.00 |
| 87428 |
|
260 |
255 |
$0.00 |
| 99383 |
|
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
40 |
40 |
$0.00 |
| 86580 |
|
14 |
14 |
$0.00 |
| 3075F |
|
13 |
12 |
$0.00 |
| 9214 |
|
13 |
13 |
$0.00 |
| 88720 |
|
16 |
12 |
$0.00 |
| Z1032 |
|
13 |
13 |
$0.00 |