| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
99,588 |
89,694 |
$25.61M |
| 90750 |
|
1,716 |
1,419 |
$286K |
| 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 |
2,208 |
2,014 |
$161K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,839 |
17,076 |
$154K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35,387 |
32,745 |
$137K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,904 |
853 |
$73K |
| 90677 |
|
889 |
589 |
$54K |
| 0012A |
|
923 |
509 |
$47K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
363 |
363 |
$41K |
| 0011A |
|
907 |
512 |
$41K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
911 |
541 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19,163 |
17,256 |
$34K |
| 97802 |
|
492 |
482 |
$32K |
| 91322 |
|
164 |
146 |
$26K |
| 0064A |
|
393 |
252 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,939 |
1,636 |
$12K |
| 59425 |
|
235 |
180 |
$11K |
| 97803 |
|
324 |
264 |
$11K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
34 |
25 |
$11K |
| 0134A |
|
157 |
157 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,384 |
1,336 |
$10K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
350 |
350 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
196 |
195 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,858 |
1,828 |
$7K |
| 0031A |
|
129 |
70 |
$7K |
| 90480 |
|
143 |
143 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,178 |
6,980 |
$5K |
| 90834 |
Psychotherapy, 45 minutes with patient |
95 |
59 |
$5K |
| 99188 |
|
412 |
245 |
$5K |
| 90837 |
Psychotherapy, 53 minutes with patient |
57 |
25 |
$4K |
| 0071A |
|
67 |
37 |
$4K |
| 90686 |
|
2,303 |
2,248 |
$3K |
| 96156 |
|
278 |
278 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
355 |
340 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,148 |
1,140 |
$3K |
| 0072A |
|
49 |
28 |
$3K |
| 90694 |
|
61 |
52 |
$3K |
| 99401 |
|
188 |
188 |
$2K |
| 90697 |
|
583 |
395 |
$2K |
| 92551 |
|
2,722 |
2,660 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
116 |
109 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
347 |
200 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
68 |
67 |
$1K |
| 90688 |
|
770 |
716 |
$1K |
| 99397 |
|
26 |
26 |
$1K |
| 0124A |
|
19 |
19 |
$1K |
| 90619 |
|
114 |
114 |
$1K |
| 0154A |
|
16 |
16 |
$1K |
| 90672 |
|
161 |
119 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
593 |
582 |
$1K |
| 90715 |
|
423 |
406 |
$963.59 |
| G9920 |
Screening performed and negative |
118 |
89 |
$928.00 |
| 90746 |
|
103 |
99 |
$881.90 |
| 90681 |
|
387 |
317 |
$770.00 |
| 99442 |
|
1,013 |
727 |
$598.09 |
| 90674 |
|
45 |
45 |
$574.00 |
| 90723 |
|
444 |
395 |
$550.00 |
| 90647 |
|
430 |
390 |
$480.00 |
| 99173 |
|
2,223 |
2,110 |
$423.20 |
| 90670 |
|
344 |
320 |
$350.00 |
| 90633 |
|
512 |
494 |
$220.00 |
| 91320 |
|
12 |
12 |
$216.00 |
| 99385 |
|
83 |
79 |
$206.84 |
| 81002 |
|
187 |
145 |
$194.86 |
| 90673 |
|
48 |
48 |
$110.39 |
| 81025 |
|
219 |
196 |
$105.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
81 |
79 |
$102.90 |
| G0008 |
Administration of influenza virus vaccine |
138 |
134 |
$96.62 |
| 90655 |
|
41 |
34 |
$60.00 |
| 90651 |
|
260 |
255 |
$60.00 |
| 88720 |
|
40 |
32 |
$43.00 |
| 90707 |
|
39 |
36 |
$30.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
13 |
$12.00 |
| 90710 |
|
54 |
53 |
$10.00 |
| 90716 |
|
40 |
38 |
$10.00 |
| 90756 |
|
131 |
131 |
$1.19 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
16 |
15 |
$0.01 |
| Z6200 |
|
119 |
119 |
$0.00 |
| Z6400 |
|
83 |
83 |
$0.00 |
| 90734 |
|
48 |
48 |
$0.00 |
| 11721 |
|
12 |
12 |
$0.00 |
| Z6300 |
|
120 |
120 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
188 |
188 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
28 |
28 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
19 |
19 |
$0.00 |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
12 |
12 |
$0.00 |
| Z6304 |
|
12 |
12 |
$0.00 |
| Z6402 |
|
121 |
121 |
$0.00 |
| Z6204 |
|
50 |
43 |
$0.00 |
| 99443 |
|
572 |
347 |
$0.00 |
| Z1034 |
|
1,124 |
904 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
24 |
24 |
$0.00 |
| 90474 |
|
28 |
27 |
$0.00 |
| Z6406 |
|
12 |
12 |
$0.00 |
| 90732 |
|
13 |
13 |
$0.00 |
| 90696 |
|
24 |
24 |
$0.00 |
| 90654 |
|
15 |
15 |
$0.00 |