| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
91,400 |
54,935 |
$5.56M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52,302 |
26,809 |
$937K |
| 90837 |
Psychotherapy, 53 minutes with patient |
19,895 |
6,491 |
$719K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27,893 |
14,988 |
$710K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29,065 |
14,606 |
$342K |
| 90834 |
Psychotherapy, 45 minutes with patient |
7,170 |
3,083 |
$144K |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,699 |
1,653 |
$95K |
| 99406 |
|
27,836 |
13,156 |
$95K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,953 |
1,466 |
$79K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,522 |
2,331 |
$58K |
| 99215 |
Prolong outpt/office vis |
1,533 |
774 |
$47K |
| 90791 |
Psychiatric diagnostic evaluation |
1,188 |
567 |
$46K |
| 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 |
6,627 |
4,708 |
$43K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,201 |
597 |
$27K |
| 95250 |
|
438 |
186 |
$15K |
| 92015 |
Determination of refractive state |
3,540 |
1,830 |
$15K |
| 99385 |
|
479 |
235 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,586 |
1,332 |
$14K |
| 90686 |
|
2,625 |
1,379 |
$12K |
| 80305 |
|
5,002 |
2,901 |
$12K |
| 99386 |
|
253 |
115 |
$8K |
| 96127 |
|
21,612 |
10,796 |
$7K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
928 |
408 |
$5K |
| 92250 |
|
860 |
397 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
157 |
72 |
$4K |
| 97802 |
|
32,522 |
15,270 |
$4K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,244 |
958 |
$3K |
| 96160 |
|
4,000 |
1,909 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
81 |
39 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
559 |
462 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
540 |
304 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
300 |
101 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
550 |
223 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
358 |
176 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
154 |
81 |
$1K |
| 0011A |
|
46 |
31 |
$1K |
| 0012A |
|
33 |
28 |
$1K |
| S9470 |
Nutritional counseling, dietitian visit |
10,398 |
4,805 |
$305.79 |
| 3044F |
|
3,821 |
1,870 |
$160.00 |
| 3051F |
|
786 |
398 |
$120.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
139 |
101 |
$99.61 |
| 3046F |
|
1,024 |
415 |
$60.00 |
| 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 |
18 |
13 |
$55.80 |
| 3052F |
|
412 |
176 |
$40.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
20,006 |
9,881 |
$22.32 |
| 2028F |
|
2,026 |
1,157 |
$22.32 |
| 81002 |
|
61 |
40 |
$19.36 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
20,054 |
9,569 |
$14.85 |
| 2022F |
|
712 |
399 |
$0.02 |
| 3075F |
|
4,145 |
2,178 |
$0.00 |
| 3008F |
|
48,735 |
24,266 |
$0.00 |
| 3080F |
|
2,599 |
1,299 |
$0.00 |
| G9459 |
Currently a tobacco non-user |
25,300 |
12,638 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
375 |
176 |
$0.00 |
| 1000F |
|
74,496 |
36,712 |
$0.00 |
| 3079F |
|
6,862 |
3,674 |
$0.00 |
| 3074F |
|
8,264 |
4,455 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,152 |
575 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
313 |
160 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
80 |
41 |
$0.00 |
| 81528 |
Oncology (colorectal) screening, quantitative real-time target and signal amplification |
555 |
286 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
28 |
13 |
$0.00 |
| 91301 |
|
79 |
33 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
26,062 |
12,807 |
$0.00 |
| 3078F |
|
7,192 |
3,939 |
$0.00 |
| 99071 |
|
15,861 |
8,099 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
5,554 |
3,767 |
$0.00 |
| 3077F |
|
4,061 |
2,075 |
$0.00 |
| 98960 |
|
883 |
408 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
32 |
18 |
$0.00 |
| 80061 |
Lipid panel |
163 |
72 |
$0.00 |