| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
26,559 |
22,540 |
$2.13M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,831 |
4,215 |
$143K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,455 |
2,238 |
$45K |
| 90834 |
Psychotherapy, 45 minutes with patient |
860 |
467 |
$44K |
| 90791 |
Psychiatric diagnostic evaluation |
156 |
156 |
$11K |
| 90837 |
Psychotherapy, 53 minutes with patient |
59 |
39 |
$3K |
| J3490 |
Unclassified drugs |
33 |
30 |
$3K |
| 99201 |
|
20 |
20 |
$3K |
| 81025 |
|
127 |
125 |
$268.80 |
| 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 |
18 |
12 |
$225.54 |
| 90651 |
|
117 |
116 |
$0.00 |
| 90688 |
|
112 |
111 |
$0.00 |
| 85018 |
|
538 |
532 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,423 |
1,294 |
$0.00 |
| 92551 |
|
463 |
459 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
656 |
642 |
$0.00 |
| BCM11 |
|
33 |
32 |
$0.00 |
| 82962 |
|
101 |
100 |
$0.00 |
| Z1034 |
|
15 |
13 |
$0.00 |
| 86580 |
|
332 |
327 |
$0.00 |
| 90647 |
|
47 |
46 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
13 |
13 |
$0.00 |
| 90723 |
|
40 |
39 |
$0.00 |
| 90656 |
|
83 |
83 |
$0.00 |
| 90669 |
|
65 |
63 |
$0.00 |
| 90734 |
|
66 |
65 |
$0.00 |
| 99173 |
|
541 |
537 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
418 |
411 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
167 |
163 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
165 |
162 |
$0.00 |
| BCM12 |
|
14 |
14 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
171 |
169 |
$0.00 |
| 81002 |
|
180 |
170 |
$0.00 |
| 90715 |
|
29 |
28 |
$0.00 |
| 90633 |
|
81 |
80 |
$0.00 |
| 90658 |
|
12 |
12 |
$0.00 |
| 90655 |
|
17 |
16 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$0.00 |
| 90710 |
|
29 |
28 |
$0.00 |