| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
30,002 |
24,356 |
$5.09M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,998 |
15,433 |
$23K |
| 98960 |
|
6,990 |
5,358 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,198 |
1,785 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
162 |
122 |
$2K |
| 90674 |
|
322 |
258 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,528 |
1,295 |
$1K |
| 90686 |
|
2,072 |
1,733 |
$1K |
| 90715 |
|
202 |
174 |
$987.55 |
| 90688 |
|
191 |
150 |
$925.40 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
136 |
96 |
$695.28 |
| 96156 |
|
4,447 |
3,620 |
$617.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
547 |
436 |
$611.72 |
| 90461 |
|
469 |
416 |
$434.00 |
| 99215 |
Prolong outpt/office vis |
19 |
13 |
$324.22 |
| 99000 |
|
5,012 |
4,070 |
$311.87 |
| 92551 |
|
3,244 |
2,595 |
$310.36 |
| 94760 |
|
22,806 |
16,518 |
$251.86 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
34 |
32 |
$117.74 |
| 3008F |
|
23,931 |
17,295 |
$104.87 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
727 |
578 |
$83.39 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
393 |
344 |
$82.37 |
| 99173 |
|
5,580 |
4,546 |
$70.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
146 |
126 |
$70.00 |
| 1000F |
|
5,446 |
4,336 |
$64.00 |
| 90633 |
|
193 |
168 |
$46.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
346 |
287 |
$34.34 |
| 90677 |
|
182 |
150 |
$27.00 |
| 97803 |
|
4,311 |
2,984 |
$25.85 |
| 85018 |
|
2,891 |
2,286 |
$22.71 |
| 90651 |
|
89 |
72 |
$18.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
617 |
479 |
$14.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
608 |
491 |
$14.00 |
| 81025 |
|
55 |
54 |
$11.20 |
| 96127 |
|
1,206 |
933 |
$9.57 |
| 90619 |
|
18 |
13 |
$9.00 |
| 90671 |
|
149 |
124 |
$9.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,359 |
1,136 |
$8.40 |
| 81002 |
|
1,693 |
1,352 |
$7.50 |
| 82962 |
|
1,475 |
1,096 |
$3.21 |
| 1036F |
|
2,888 |
2,277 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
3,069 |
2,581 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,514 |
1,976 |
$0.00 |
| 99385 |
|
14 |
14 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
343 |
269 |
$0.00 |
| 3079F |
|
1,408 |
1,075 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
66 |
55 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
1,009 |
772 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
208 |
154 |
$0.00 |
| G2062 |
Qualified nonphysician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 11-20 minutes |
14 |
12 |
$0.00 |
| 97802 |
|
2,957 |
2,305 |
$0.00 |
| 3074F |
|
7,584 |
5,302 |
$0.00 |
| Z6406 |
|
54 |
54 |
$0.00 |
| Z1034 |
|
1,111 |
737 |
$0.00 |
| 3075F |
|
790 |
587 |
$0.00 |
| 99441 |
|
162 |
134 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
477 |
419 |
$0.00 |
| 96151 |
|
47 |
47 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
708 |
632 |
$0.00 |
| Z6410 |
|
665 |
457 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
17 |
13 |
$0.00 |
| 96161 |
|
1,087 |
835 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
18 |
14 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,182 |
877 |
$0.00 |
| 1031F |
|
2,367 |
1,780 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
113 |
99 |
$0.00 |
| 90697 |
|
214 |
177 |
$0.00 |
| Z6204 |
|
55 |
54 |
$0.00 |
| 1034F |
|
18 |
13 |
$0.00 |
| 99383 |
|
13 |
13 |
$0.00 |
| Z1032 |
|
51 |
38 |
$0.00 |
| 3080F |
|
37 |
27 |
$0.00 |
| 4000F |
|
18 |
13 |
$0.00 |
| G0406 |
Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth |
45 |
38 |
$0.00 |
| 99406 |
|
17 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
124 |
98 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
17 |
15 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
16 |
13 |
$0.00 |
| 99384 |
|
19 |
15 |
$0.00 |
| 3044F |
|
31 |
24 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
275 |
221 |
$0.00 |
| 96160 |
|
221 |
180 |
$0.00 |
| 3078F |
|
7,468 |
5,235 |
$0.00 |
| 2028F |
|
111 |
76 |
$0.00 |
| 2014F |
|
3,267 |
2,649 |
$0.00 |
| 99001 |
|
125 |
105 |
$0.00 |
| 1160F |
|
727 |
492 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
371 |
296 |
$0.00 |
| 3725F |
|
117 |
95 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
1,379 |
1,086 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
54 |
49 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
1,327 |
1,114 |
$0.00 |
| Z6304 |
|
42 |
42 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,642 |
1,217 |
$0.00 |
| Z6400 |
|
310 |
289 |
$0.00 |
| 90670 |
|
42 |
40 |
$0.00 |
| 82947 |
|
185 |
143 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
252 |
223 |
$0.00 |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
25 |
18 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
250 |
234 |
$0.00 |
| 1159F |
|
273 |
180 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
93 |
81 |
$0.00 |
| 3077F |
|
454 |
351 |
$0.00 |
| 99442 |
|
52 |
38 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
71 |
63 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
108 |
99 |
$0.00 |
| 90681 |
|
15 |
12 |
$0.00 |
| G9920 |
Screening performed and negative |
30 |
24 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
41 |
35 |
$0.00 |
| 99401 |
|
41 |
34 |
$0.00 |