| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
106,116 |
93,039 |
$9.70M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
79,040 |
65,431 |
$615K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42,709 |
31,975 |
$283K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
8,027 |
6,614 |
$187K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
9,283 |
7,569 |
$182K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,743 |
4,810 |
$103K |
| 92551 |
|
21,605 |
18,017 |
$77K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,651 |
1,613 |
$72K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,184 |
1,063 |
$69K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,359 |
1,181 |
$48K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
21,086 |
14,898 |
$45K |
| 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 |
1,424 |
1,267 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,335 |
5,152 |
$32K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,863 |
2,777 |
$29K |
| J3490 |
Unclassified drugs |
461 |
399 |
$26K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,313 |
1,123 |
$21K |
| 90791 |
Psychiatric diagnostic evaluation |
449 |
311 |
$21K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,366 |
2,283 |
$19K |
| 90834 |
Psychotherapy, 45 minutes with patient |
771 |
365 |
$18K |
| 90686 |
|
5,699 |
4,972 |
$18K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
336 |
335 |
$11K |
| 99173 |
|
24,683 |
20,905 |
$9K |
| 90734 |
|
2,217 |
1,836 |
$8K |
| 90651 |
|
2,133 |
1,774 |
$8K |
| 85018 |
|
8,839 |
7,577 |
$7K |
| 83655 |
|
1,180 |
995 |
$7K |
| 90670 |
|
1,926 |
1,633 |
$7K |
| 90633 |
|
1,385 |
1,185 |
$6K |
| 90649 |
|
726 |
645 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,096 |
5,384 |
$5K |
| 90715 |
|
867 |
760 |
$4K |
| 81002 |
|
5,692 |
3,938 |
$3K |
| 88150 |
|
2,507 |
2,499 |
$3K |
| 90648 |
|
589 |
470 |
$3K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
540 |
325 |
$3K |
| 90723 |
|
824 |
673 |
$3K |
| G9012 |
Other specified case management service not elsewhere classified |
61 |
43 |
$3K |
| 92552 |
|
237 |
237 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
204 |
200 |
$2K |
| 82962 |
|
10,641 |
9,116 |
$2K |
| 90656 |
|
589 |
579 |
$2K |
| 59425 |
|
331 |
234 |
$2K |
| 0012A |
|
173 |
159 |
$2K |
| 90680 |
|
425 |
352 |
$2K |
| 90710 |
|
364 |
301 |
$2K |
| 81025 |
|
1,545 |
1,493 |
$1K |
| 3074F |
|
26,522 |
22,337 |
$1K |
| 0011A |
|
174 |
162 |
$1K |
| 90677 |
|
53 |
53 |
$967.38 |
| H1000 |
Prenatal care, at-risk assessment |
12 |
12 |
$909.45 |
| 96156 |
|
173 |
172 |
$905.18 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,983 |
2,772 |
$845.30 |
| 90621 |
|
288 |
222 |
$803.52 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
25 |
24 |
$761.75 |
| 90696 |
|
175 |
143 |
$746.91 |
| 3008F |
|
49,983 |
40,569 |
$716.61 |
| 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 |
57 |
57 |
$698.88 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
65 |
60 |
$642.81 |
| 99406 |
|
2,127 |
1,801 |
$634.03 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
535 |
534 |
$631.99 |
| 90647 |
|
242 |
194 |
$612.00 |
| 90655 |
|
146 |
146 |
$600.75 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
39 |
39 |
$477.78 |
| 99384 |
|
48 |
36 |
$424.25 |
| 90716 |
|
114 |
88 |
$396.00 |
| 99383 |
|
81 |
67 |
$319.42 |
| 90685 |
|
165 |
129 |
$279.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
27 |
24 |
$244.24 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
10,794 |
7,778 |
$235.94 |
| 92081 |
|
194 |
194 |
$229.00 |
| 90750 |
|
12 |
12 |
$202.36 |
| 3075F |
|
5,216 |
4,422 |
$202.10 |
| 90700 |
|
27 |
26 |
$153.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
534 |
284 |
$143.56 |
| 99401 |
|
553 |
552 |
$143.01 |
| 97803 |
|
279 |
274 |
$129.55 |
| 90707 |
|
59 |
44 |
$125.91 |
| 3079F |
|
9,636 |
8,178 |
$106.18 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
18 |
12 |
$74.84 |
| 90697 |
|
12 |
12 |
$72.00 |
| 86580 |
|
28 |
28 |
$69.93 |
| 3078F |
|
25,830 |
21,885 |
$60.60 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
7,939 |
5,858 |
$54.58 |
| S9452 |
Nutrition classes, non-physician provider, per session |
12 |
12 |
$53.84 |
| 94760 |
|
497 |
409 |
$44.30 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
752 |
645 |
$40.41 |
| 3044F |
|
733 |
627 |
$39.23 |
| 3077F |
|
6,025 |
4,951 |
$34.70 |
| 92015 |
Determination of refractive state |
135 |
135 |
$7.93 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
117 |
108 |
$6.00 |
| 3046F |
|
186 |
159 |
$0.11 |
| 3080F |
|
1,910 |
1,520 |
$0.09 |
| 3051F |
|
280 |
216 |
$0.00 |
| 0502F |
|
1,266 |
751 |
$0.00 |
| Z6400 |
|
58 |
58 |
$0.00 |
| 90461 |
|
89 |
81 |
$0.00 |
| 3045F |
|
27 |
27 |
$0.00 |
| 90662 |
|
12 |
12 |
$0.00 |
| 90863 |
|
83 |
83 |
$0.00 |
| Z6304 |
|
31 |
31 |
$0.00 |
| Z6500 |
|
25 |
25 |
$0.00 |
| 90658 |
|
14 |
14 |
$0.00 |
| Z6410 |
|
41 |
41 |
$0.00 |
| Z1032 |
|
103 |
103 |
$0.00 |
| Z1034 |
|
1,458 |
1,102 |
$0.00 |
| 99172 |
|
357 |
356 |
$0.00 |
| 97802 |
|
524 |
523 |
$0.00 |
| 99000 |
|
336 |
319 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
40 |
38 |
$0.00 |
| 91301 |
|
308 |
304 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
489 |
488 |
$0.00 |
| 85032 |
|
125 |
125 |
$0.00 |
| 3052F |
|
81 |
67 |
$0.00 |
| Z6204 |
|
32 |
32 |
$0.00 |
| Z6406 |
|
32 |
32 |
$0.00 |
| D0601 |
|
13 |
13 |
$0.00 |
| 0500F |
|
12 |
12 |
$0.00 |