| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
64,533 |
42,952 |
$5.37M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
60,113 |
33,264 |
$1.43M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25,774 |
12,014 |
$561K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
21,585 |
5,727 |
$170K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,664 |
3,565 |
$143K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
2,589 |
1,538 |
$124K |
| 90832 |
Psychotherapy, 30 minutes with patient |
5,588 |
3,279 |
$111K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,365 |
2,310 |
$95K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,324 |
1,192 |
$31K |
| 99381 |
|
1,303 |
804 |
$31K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,909 |
2,354 |
$29K |
| 80305 |
|
5,127 |
3,340 |
$19K |
| 81025 |
|
4,875 |
3,302 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,359 |
851 |
$10K |
| 90474 |
|
1,660 |
938 |
$8K |
| T2003 |
Non-emergency transportation; encounter/trip |
1,149 |
478 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
340 |
278 |
$5K |
| 90686 |
|
2,526 |
1,576 |
$4K |
| 92551 |
|
1,180 |
813 |
$3K |
| 87210 |
|
1,694 |
1,038 |
$3K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
139 |
133 |
$3K |
| 85018 |
|
2,683 |
1,839 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
490 |
332 |
$3K |
| 59430 |
|
67 |
39 |
$3K |
| 99401 |
|
147 |
145 |
$2K |
| 81002 |
|
2,516 |
1,869 |
$2K |
| 90715 |
|
365 |
275 |
$2K |
| 81003 |
|
1,545 |
903 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
92 |
76 |
$1K |
| H1000 |
Prenatal care, at-risk assessment |
12 |
12 |
$994.50 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
98 |
52 |
$928.74 |
| 99441 |
|
201 |
100 |
$761.60 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
186 |
168 |
$733.28 |
| 90670 |
|
3,758 |
2,589 |
$713.92 |
| 90834 |
Psychotherapy, 45 minutes with patient |
27 |
13 |
$704.22 |
| 99173 |
|
418 |
336 |
$405.30 |
| 90698 |
|
2,080 |
1,530 |
$381.50 |
| 90744 |
|
1,100 |
873 |
$367.85 |
| 90716 |
|
516 |
354 |
$287.28 |
| 90681 |
|
1,967 |
1,257 |
$237.25 |
| 90633 |
|
709 |
435 |
$98.75 |
| 90707 |
|
539 |
364 |
$65.00 |
| 36416 |
|
472 |
369 |
$63.01 |
| 90700 |
|
203 |
151 |
$30.00 |
| 90634 |
|
104 |
90 |
$25.00 |
| 90648 |
|
1,474 |
833 |
$10.00 |
| 4004F |
|
7,564 |
4,305 |
$0.00 |
| G8938 |
Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible |
3,372 |
2,407 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
7,059 |
5,187 |
$0.00 |
| 3046F |
|
24 |
12 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
442 |
418 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
195 |
176 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
29 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
20 |
19 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
37 |
33 |
$0.00 |
| 90461 |
|
16 |
15 |
$0.00 |
| 1036F |
|
43,452 |
22,943 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
2,342 |
1,761 |
$0.00 |
| 90688 |
|
75 |
72 |
$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) |
18 |
14 |
$0.00 |
| 90723 |
|
1,052 |
593 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,184 |
898 |
$0.00 |
| G9231 |
Documentation of end stage renal disease (esrd), dialysis, renal transplant before or during the measurement period or pregnancy during the measurement period |
541 |
409 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
188 |
157 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
347 |
322 |
$0.00 |
| 82962 |
|
27 |
26 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
18 |
14 |
$0.00 |
| 90674 |
|
29 |
28 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
19 |
18 |
$0.00 |