| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
115,528 |
97,908 |
$15.04M |
| 90791 |
Psychiatric diagnostic evaluation |
3,865 |
2,441 |
$327K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27,766 |
20,432 |
$271K |
| 90832 |
Psychotherapy, 30 minutes with patient |
7,034 |
3,893 |
$231K |
| 59425 |
|
2,310 |
1,808 |
$166K |
| 96127 |
|
52,960 |
33,244 |
$151K |
| 90746 |
|
2,328 |
2,120 |
$129K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
76,901 |
47,319 |
$98K |
| 90686 |
|
11,924 |
8,716 |
$53K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,000 |
1,117 |
$45K |
| 90715 |
|
2,213 |
1,733 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34,571 |
23,098 |
$38K |
| D1206 |
Topical application of fluoride varnish |
3,426 |
2,372 |
$26K |
| 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 |
963 |
856 |
$25K |
| 99173 |
|
11,772 |
7,525 |
$23K |
| 0011A |
|
350 |
350 |
$23K |
| 90834 |
Psychotherapy, 45 minutes with patient |
504 |
289 |
$22K |
| J3490 |
Unclassified drugs |
489 |
385 |
$22K |
| 97802 |
|
185 |
185 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18,345 |
11,334 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,598 |
2,571 |
$18K |
| G9012 |
Other specified case management service not elsewhere classified |
335 |
178 |
$17K |
| 90732 |
|
278 |
268 |
$16K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
478 |
472 |
$15K |
| 97803 |
|
246 |
244 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,368 |
3,443 |
$10K |
| 99188 |
|
1,103 |
683 |
$10K |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
387 |
346 |
$10K |
| 0500F |
|
170 |
105 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,656 |
2,413 |
$9K |
| 81003 |
|
8,507 |
5,109 |
$9K |
| 90632 |
|
172 |
171 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,746 |
3,008 |
$9K |
| 0012A |
|
126 |
126 |
$8K |
| 92552 |
|
12,105 |
7,656 |
$8K |
| 81025 |
|
4,166 |
3,024 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,008 |
2,093 |
$6K |
| 99401 |
|
347 |
336 |
$5K |
| 59430 |
|
92 |
91 |
$5K |
| 99381 |
|
327 |
258 |
$5K |
| 96156 |
|
433 |
431 |
$5K |
| 90651 |
|
1,299 |
896 |
$4K |
| 99385 |
|
496 |
416 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,025 |
1,895 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
245 |
154 |
$3K |
| 99386 |
|
323 |
273 |
$3K |
| 0064A |
|
32 |
32 |
$2K |
| 90707 |
|
239 |
171 |
$2K |
| 90620 |
|
218 |
146 |
$1K |
| 86580 |
|
392 |
367 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
394 |
239 |
$874.77 |
| 90662 |
|
388 |
387 |
$798.35 |
| 90716 |
|
306 |
220 |
$574.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
160 |
95 |
$568.75 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,183 |
966 |
$544.96 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
176 |
157 |
$390.26 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
153 |
135 |
$264.74 |
| 88720 |
|
136 |
71 |
$224.00 |
| 90670 |
|
3,205 |
2,240 |
$182.75 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
284 |
171 |
$178.63 |
| 90734 |
|
1,009 |
661 |
$116.64 |
| 99215 |
Prolong outpt/office vis |
23 |
17 |
$111.00 |
| 88142 |
|
1,416 |
867 |
$109.85 |
| 87210 |
|
34 |
12 |
$76.86 |
| 90698 |
|
2,988 |
2,033 |
$36.81 |
| 90633 |
|
1,971 |
1,340 |
$27.81 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
16 |
15 |
$27.00 |
| 90744 |
|
1,888 |
1,328 |
$19.80 |
| 82947 |
|
319 |
266 |
$11.88 |
| 90681 |
|
766 |
552 |
$9.00 |
| 85018 |
|
2,633 |
2,389 |
$4.14 |
| 90700 |
|
47 |
27 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
253 |
228 |
$0.00 |
| 3078F |
|
16,203 |
14,361 |
$0.00 |
| 96160 |
|
102 |
94 |
$0.00 |
| 3077F |
|
1,683 |
1,483 |
$0.00 |
| 0502F |
|
1,688 |
1,231 |
$0.00 |
| Z6200 |
|
197 |
197 |
$0.00 |
| Z6300 |
|
208 |
208 |
$0.00 |
| 99408 |
|
51 |
50 |
$0.00 |
| Z6400 |
|
753 |
749 |
$0.00 |
| 90710 |
|
121 |
69 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
88 |
83 |
$0.00 |
| Z6304 |
|
55 |
55 |
$0.00 |
| 2028F |
|
64 |
59 |
$0.00 |
| 90685 |
|
41 |
41 |
$0.00 |
| 90648 |
|
55 |
54 |
$0.00 |
| 3079F |
|
4,907 |
4,402 |
$0.00 |
| 3074F |
|
17,790 |
15,681 |
$0.00 |
| 3080F |
|
721 |
647 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,596 |
4,794 |
$0.00 |
| 90656 |
|
254 |
253 |
$0.00 |
| 3075F |
|
2,626 |
2,390 |
$0.00 |
| 90677 |
|
373 |
271 |
$0.00 |
| Z1034 |
|
2,828 |
2,328 |
$0.00 |
| Z1038 |
|
100 |
99 |
$0.00 |
| 90696 |
|
142 |
82 |
$0.00 |
| Z6204 |
|
55 |
55 |
$0.00 |
| 90688 |
|
97 |
96 |
$0.00 |
| 90619 |
|
184 |
118 |
$0.00 |
| Z1032 |
|
228 |
228 |
$0.00 |
| Z6406 |
|
100 |
96 |
$0.00 |
| Z6402 |
|
195 |
195 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
14 |
12 |
$0.00 |
| 99384 |
|
17 |
13 |
$0.00 |
| 99383 |
|
45 |
26 |
$0.00 |
| 90674 |
|
52 |
52 |
$0.00 |
| 0503F |
|
127 |
108 |
$0.00 |
| 3008F |
|
20 |
19 |
$0.00 |
| 92551 |
|
39 |
39 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
31 |
16 |
$0.00 |