| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
77,715 |
60,791 |
$11.04M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58,757 |
48,436 |
$6.42M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,078 |
11,825 |
$1.74M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,094 |
6,082 |
$866K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,975 |
5,299 |
$786K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,822 |
3,986 |
$623K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,021 |
3,502 |
$499K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,986 |
4,271 |
$458K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,957 |
1,695 |
$206K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,714 |
1,506 |
$189K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
120 |
112 |
$17K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
146 |
133 |
$16K |
| 0012A |
|
598 |
511 |
$16K |
| 0011A |
|
606 |
481 |
$13K |
| 0064A |
|
180 |
154 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
54 |
54 |
$5K |
| 90686 |
|
4,146 |
3,273 |
$5K |
| 99381 |
|
55 |
45 |
$5K |
| 0002A |
|
120 |
111 |
$3K |
| 90670 |
|
2,647 |
2,114 |
$3K |
| 92551 |
|
10,169 |
8,777 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
134 |
108 |
$3K |
| 0001A |
|
150 |
137 |
$3K |
| 90647 |
|
1,639 |
1,350 |
$3K |
| 0072A |
|
74 |
52 |
$2K |
| 0071A |
|
57 |
49 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
835 |
742 |
$2K |
| 90723 |
|
1,736 |
1,424 |
$2K |
| 99383 |
|
16 |
16 |
$2K |
| 99384 |
|
14 |
14 |
$2K |
| 3008F |
|
4,172 |
3,414 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
145 |
138 |
$1K |
| 92552 |
|
1,396 |
1,309 |
$1K |
| 90633 |
|
1,086 |
921 |
$961.36 |
| 90651 |
|
743 |
661 |
$721.49 |
| 99173 |
|
11,685 |
10,174 |
$696.92 |
| 90681 |
|
492 |
412 |
$582.00 |
| 90658 |
|
532 |
454 |
$520.44 |
| W7010 |
|
133 |
107 |
$513.90 |
| 80305 |
|
731 |
643 |
$440.62 |
| 90677 |
|
633 |
579 |
$400.00 |
| 90688 |
|
285 |
232 |
$343.41 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,889 |
1,638 |
$339.88 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
22 |
22 |
$311.80 |
| 90734 |
|
416 |
355 |
$279.36 |
| 90674 |
|
380 |
348 |
$227.88 |
| 99441 |
|
40 |
37 |
$199.68 |
| 90716 |
|
106 |
102 |
$182.96 |
| 0031A |
|
15 |
14 |
$170.34 |
| 90707 |
|
105 |
100 |
$162.96 |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$139.80 |
| 90710 |
|
227 |
204 |
$139.68 |
| 90700 |
|
99 |
97 |
$116.40 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,068 |
2,760 |
$103.88 |
| 90715 |
|
52 |
52 |
$103.28 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
514 |
384 |
$50.00 |
| 90696 |
|
92 |
91 |
$46.56 |
| 90461 |
|
2,340 |
1,584 |
$46.00 |
| 90697 |
|
421 |
379 |
$40.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
52 |
50 |
$26.28 |
| 90620 |
|
33 |
32 |
$23.28 |
| 90619 |
|
56 |
53 |
$23.28 |
| 90687 |
|
24 |
24 |
$23.28 |
| 3074F |
|
195 |
179 |
$20.65 |
| W7020 |
|
18 |
15 |
$17.13 |
| 81025 |
|
554 |
469 |
$13.68 |
| 81002 |
|
483 |
361 |
$8.31 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
394 |
358 |
$3.42 |
| 91307 |
|
136 |
103 |
$0.80 |
| 3078F |
|
215 |
198 |
$0.63 |
| 91306 |
|
101 |
76 |
$0.31 |
| 3077F |
|
28 |
27 |
$0.08 |
| 3080F |
|
25 |
24 |
$0.06 |
| 91301 |
|
31 |
30 |
$0.00 |
| 87430 |
|
371 |
310 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
189 |
145 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
73 |
66 |
$0.00 |
| 0001F |
|
520 |
460 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
146 |
112 |
$0.00 |
| 81000 |
|
71 |
44 |
$0.00 |
| 99443 |
|
21 |
19 |
$0.00 |
| G2197 |
Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol user |
13 |
13 |
$0.00 |
| 86803 |
|
71 |
64 |
$0.00 |
| 4000F |
|
23 |
16 |
$0.00 |
| 1000F |
|
68 |
59 |
$0.00 |
| 90656 |
|
28 |
28 |
$0.00 |
| 3754F |
|
12 |
12 |
$0.00 |
| 93000 |
|
15 |
15 |
$0.00 |
| 91303 |
|
13 |
12 |
$0.00 |
| 85018 |
|
24 |
24 |
$0.00 |
| 1034F |
|
23 |
16 |
$0.00 |
| 83655 |
|
400 |
361 |
$0.00 |
| 99188 |
|
291 |
266 |
$0.00 |
| 3725F |
|
204 |
184 |
$0.00 |
| 87913 |
|
71 |
69 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
36 |
33 |
$0.00 |
| 1033F |
|
100 |
87 |
$0.00 |
| 99442 |
|
124 |
108 |
$0.00 |
| 90630 |
|
40 |
36 |
$0.00 |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
15 |
14 |
$0.00 |
| 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 |
1,113 |
956 |
$-17968.08 |