| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
85,519 |
65,101 |
$10.51M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52,580 |
38,384 |
$832K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,894 |
5,559 |
$75K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,174 |
3,818 |
$75K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,561 |
3,418 |
$58K |
| 59430 |
|
1,373 |
1,282 |
$39K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,592 |
1,556 |
$25K |
| 90715 |
|
1,171 |
1,128 |
$24K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
345 |
223 |
$22K |
| 99215 |
Prolong outpt/office vis |
1,080 |
1,031 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
597 |
563 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
305 |
292 |
$16K |
| 59025 |
Fetal non-stress test |
405 |
275 |
$15K |
| 57454 |
|
212 |
195 |
$14K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
237 |
133 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
315 |
275 |
$12K |
| 99385 |
|
548 |
531 |
$11K |
| 90686 |
|
485 |
477 |
$11K |
| 58100 |
|
321 |
311 |
$10K |
| 81002 |
|
1,428 |
1,152 |
$9K |
| 81025 |
|
904 |
821 |
$8K |
| 58301 |
|
90 |
75 |
$4K |
| 99000 |
|
3,386 |
2,830 |
$4K |
| 99386 |
|
228 |
224 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
600 |
570 |
$3K |
| 76801 |
|
32 |
32 |
$2K |
| 58300 |
|
29 |
29 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,101 |
882 |
$2K |
| 87210 |
|
68 |
66 |
$358.12 |
| 96127 |
|
1,323 |
1,279 |
$5.90 |
| 90834 |
Psychotherapy, 45 minutes with patient |
312 |
258 |
$0.00 |
| 99406 |
|
213 |
200 |
$0.00 |
| 90656 |
|
21 |
21 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
600 |
579 |
$0.00 |
| 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 |
184 |
154 |
$0.00 |