| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
36,909 |
29,558 |
$5.16M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,809 |
15,559 |
$138K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,925 |
2,035 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,059 |
800 |
$15K |
| 96156 |
|
1,994 |
1,740 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
336 |
296 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
160 |
109 |
$5K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
343 |
299 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
644 |
413 |
$3K |
| 92551 |
|
1,357 |
1,161 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,264 |
2,055 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
43 |
27 |
$999.05 |
| 87428 |
|
115 |
87 |
$780.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
138 |
104 |
$606.04 |
| 85999 |
|
148 |
148 |
$445.48 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,915 |
1,671 |
$440.67 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
193 |
166 |
$385.84 |
| 90686 |
|
450 |
417 |
$324.00 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
15 |
$262.22 |
| 99173 |
|
1,287 |
1,183 |
$260.74 |
| 90671 |
|
144 |
105 |
$234.00 |
| 90697 |
|
133 |
96 |
$189.00 |
| 85018 |
|
1,897 |
1,583 |
$161.48 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
34 |
26 |
$152.61 |
| 90656 |
|
72 |
48 |
$98.02 |
| 90633 |
|
33 |
26 |
$72.00 |
| 90681 |
|
21 |
16 |
$54.00 |
| 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 |
15 |
13 |
$39.87 |
| 81003 |
|
599 |
523 |
$39.22 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
40 |
28 |
$29.60 |
| 90619 |
|
36 |
25 |
$27.00 |
| 90651 |
|
35 |
25 |
$18.00 |
| 98960 |
|
9,923 |
8,216 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,397 |
1,524 |
$0.00 |
| 1159F |
|
4,277 |
3,473 |
$0.00 |
| 4004F |
|
1,071 |
927 |
$0.00 |
| 4274F |
|
1,034 |
813 |
$0.00 |
| 1160F |
|
4,277 |
3,474 |
$0.00 |
| 3078F |
|
1,735 |
1,623 |
$0.00 |
| 96160 |
|
228 |
225 |
$0.00 |
| 3077F |
|
210 |
195 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
61 |
56 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,339 |
1,138 |
$0.00 |
| 90648 |
|
39 |
39 |
$0.00 |
| 90461 |
|
574 |
503 |
$0.00 |
| 90670 |
|
55 |
55 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
161 |
159 |
$0.00 |
| 2001F |
|
4,070 |
3,387 |
$0.00 |
| 1036F |
|
12,942 |
10,438 |
$0.00 |
| 3074F |
|
2,006 |
1,870 |
$0.00 |
| 3079F |
|
526 |
496 |
$0.00 |
| 1034F |
|
569 |
488 |
$0.00 |
| 3008F |
|
4,071 |
3,387 |
$0.00 |
| 2000F |
|
2,290 |
2,072 |
$0.00 |
| 1000F |
|
10,044 |
8,132 |
$0.00 |
| 36416 |
|
860 |
794 |
$0.00 |
| 2010F |
|
4,104 |
3,414 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
595 |
590 |
$0.00 |
| 3351F |
|
600 |
594 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
626 |
544 |
$0.00 |
| 97802 |
|
1,593 |
1,450 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
103 |
102 |
$0.00 |
| 96151 |
|
199 |
198 |
$0.00 |
| 93000 |
|
25 |
25 |
$0.00 |
| 96127 |
|
581 |
573 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
204 |
204 |
$0.00 |
| 3075F |
|
113 |
108 |
$0.00 |
| 4010F |
|
38 |
27 |
$0.00 |
| 96150 |
|
40 |
40 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| 90688 |
|
14 |
14 |
$0.00 |