| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
21,772 |
17,613 |
$4.10M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,755 |
33,820 |
$782K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
25,595 |
25,365 |
$659K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,996 |
11,421 |
$308K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,957 |
6,844 |
$290K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,624 |
8,651 |
$262K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,932 |
4,916 |
$250K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,644 |
9,715 |
$216K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,606 |
2,592 |
$148K |
| 90461 |
|
4,352 |
4,186 |
$75K |
| 36415 |
Collection of venous blood by venipuncture |
14,339 |
13,704 |
$33K |
| 99442 |
|
2,904 |
2,755 |
$28K |
| 90674 |
|
2,466 |
2,308 |
$23K |
| 0012A |
|
472 |
472 |
$16K |
| 90686 |
|
5,706 |
5,471 |
$15K |
| 99441 |
|
1,454 |
1,349 |
$13K |
| 0011A |
|
428 |
428 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,216 |
1,205 |
$12K |
| 99443 |
|
648 |
613 |
$10K |
| 0001A |
|
225 |
224 |
$9K |
| 90651 |
|
553 |
510 |
$9K |
| 59425 |
|
568 |
484 |
$8K |
| 0002A |
|
178 |
178 |
$7K |
| 90670 |
|
2,585 |
2,471 |
$7K |
| 99429 |
|
11,915 |
11,242 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
2,628 |
2,619 |
$5K |
| 90656 |
|
1,325 |
1,230 |
$5K |
| 59430 |
|
71 |
71 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,453 |
2,016 |
$4K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
385 |
317 |
$4K |
| 90619 |
|
130 |
124 |
$3K |
| 90723 |
|
1,356 |
1,313 |
$3K |
| 90734 |
|
218 |
207 |
$3K |
| 99381 |
|
2,717 |
1,944 |
$2K |
| 59426 |
|
53 |
39 |
$2K |
| 90677 |
|
992 |
945 |
$2K |
| 90680 |
|
1,898 |
1,804 |
$1K |
| 99383 |
|
183 |
183 |
$1K |
| 0031A |
|
31 |
31 |
$1K |
| 90633 |
|
1,371 |
1,255 |
$1K |
| 90716 |
|
391 |
377 |
$1K |
| 90688 |
|
83 |
83 |
$898.98 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
942 |
942 |
$892.83 |
| 81025 |
|
742 |
727 |
$764.90 |
| 90697 |
|
1,286 |
1,249 |
$651.70 |
| 90685 |
|
978 |
910 |
$535.08 |
| 90707 |
|
232 |
222 |
$491.49 |
| 90648 |
|
1,811 |
1,528 |
$438.04 |
| 3008F |
|
320 |
317 |
$315.00 |
| 36406 |
|
138 |
138 |
$309.72 |
| 90700 |
|
80 |
66 |
$206.96 |
| 96156 |
|
501 |
496 |
$190.16 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
67 |
67 |
$165.84 |
| 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 |
1,818 |
1,586 |
$128.03 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$104.01 |
| 90715 |
|
508 |
506 |
$100.96 |
| 96158 |
|
116 |
104 |
$85.54 |
| 1160F |
|
161 |
159 |
$75.00 |
| 1159F |
|
161 |
159 |
$75.00 |
| 3078F |
|
143 |
142 |
$75.00 |
| 3074F |
|
149 |
148 |
$75.00 |
| 96150 |
|
85 |
85 |
$48.00 |
| 96040 |
|
13 |
13 |
$43.72 |
| 99201 |
|
615 |
615 |
$24.16 |
| 90713 |
|
24 |
24 |
$0.00 |
| 90710 |
|
82 |
75 |
$0.00 |
| 91300 |
|
403 |
335 |
$0.00 |
| 90661 |
|
17 |
12 |
$0.00 |
| 99382 |
|
16 |
12 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
28 |
$0.00 |
| 99241 |
|
362 |
356 |
$0.00 |
| 90739 |
|
43 |
43 |
$0.00 |
| 99384 |
|
71 |
71 |
$0.00 |
| 91301 |
|
906 |
894 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
27 |
27 |
$0.00 |
| 90744 |
|
24 |
24 |
$0.00 |
| 90696 |
|
56 |
50 |
$0.00 |
| 91303 |
|
29 |
29 |
$0.00 |