| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
76,350 |
59,921 |
$12.01M |
| 99212 |
|
60,102 |
44,289 |
$367K |
| 99202 |
|
3,098 |
2,829 |
$206K |
| 99213 |
|
23,885 |
17,730 |
$113K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
3,869 |
2,555 |
$49K |
| 99203 |
|
665 |
633 |
$42K |
| 96156 |
|
5,682 |
5,591 |
$20K |
| 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 |
94 |
80 |
$9K |
| 99391 |
|
1,787 |
1,470 |
$7K |
| 81025 |
|
4,774 |
4,628 |
$6K |
| 99394 |
|
1,708 |
1,314 |
$6K |
| 99393 |
|
2,048 |
1,583 |
$5K |
| 99392 |
|
2,222 |
1,651 |
$5K |
| 99000 |
|
20,590 |
19,096 |
$4K |
| H1000 |
Prenatal care, at-risk assessment |
138 |
138 |
$4K |
| 90686 |
|
941 |
897 |
$4K |
| 99395 |
|
1,505 |
1,067 |
$4K |
| 90460 |
|
3,400 |
3,174 |
$3K |
| 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 |
37 |
34 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12,773 |
11,034 |
$3K |
| 99396 |
|
1,026 |
739 |
$3K |
| 90648 |
|
974 |
938 |
$3K |
| 90633 |
|
625 |
605 |
$3K |
| 99385 |
|
245 |
198 |
$3K |
| 99204 |
|
535 |
499 |
$2K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
182 |
182 |
$2K |
| 90670 |
|
605 |
573 |
$2K |
| 99401 |
|
373 |
359 |
$2K |
| 90723 |
|
678 |
661 |
$2K |
| 99201 |
|
62 |
58 |
$2K |
| 99215 |
Prolong outpt/office vis |
833 |
663 |
$2K |
| 92568 |
|
7,188 |
6,439 |
$2K |
| 0002A |
|
87 |
79 |
$2K |
| 93000 |
|
84 |
82 |
$2K |
| 81002 |
|
11,347 |
9,831 |
$2K |
| 90734 |
|
317 |
309 |
$1K |
| 96127 |
|
13,146 |
11,289 |
$1K |
| 3074F |
|
28,430 |
23,239 |
$1K |
| 99211 |
|
895 |
779 |
$1K |
| 90649 |
|
291 |
277 |
$1K |
| 90680 |
|
547 |
534 |
$1K |
| 3078F |
|
22,958 |
19,025 |
$1K |
| 90700 |
|
304 |
303 |
$1K |
| 99214 |
|
1,438 |
1,225 |
$991.74 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
17,507 |
13,198 |
$843.82 |
| 99205 |
Prolong outpt/office vis |
95 |
95 |
$749.34 |
| 90677 |
|
425 |
422 |
$697.82 |
| 90715 |
|
152 |
143 |
$604.55 |
| 99384 |
|
65 |
60 |
$603.36 |
| 85018 |
|
3,145 |
2,935 |
$521.11 |
| 81000 |
|
798 |
677 |
$497.31 |
| 99381 |
|
189 |
167 |
$494.13 |
| 99173 |
|
7,473 |
6,711 |
$470.32 |
| 90461 |
|
1,980 |
1,922 |
$456.15 |
| 90716 |
|
122 |
120 |
$433.64 |
| 90685 |
|
113 |
103 |
$414.55 |
| 90710 |
|
111 |
106 |
$387.82 |
| 59425 |
|
204 |
132 |
$359.88 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
11,977 |
9,255 |
$355.13 |
| 59430 |
|
24 |
24 |
$290.28 |
| 3079F |
|
10,769 |
9,483 |
$275.47 |
| 99386 |
|
77 |
61 |
$255.78 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
470 |
442 |
$200.92 |
| 90707 |
|
55 |
55 |
$200.82 |
| 3077F |
|
4,722 |
4,005 |
$154.43 |
| 3075F |
|
5,673 |
5,119 |
$147.29 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
268 |
257 |
$132.68 |
| 90791 |
|
37 |
25 |
$128.08 |
| 99383 |
|
48 |
45 |
$109.66 |
| 83655 |
|
260 |
253 |
$106.30 |
| 90696 |
|
14 |
14 |
$99.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
1,769 |
1,435 |
$69.10 |
| 0003A |
|
61 |
56 |
$67.00 |
| 90620 |
|
12 |
12 |
$63.00 |
| 90713 |
|
28 |
28 |
$53.91 |
| 90832 |
|
181 |
59 |
$52.87 |
| 3080F |
|
5,152 |
4,389 |
$42.90 |
| 0001A |
|
26 |
26 |
$40.00 |
| 90471 |
|
282 |
281 |
$35.60 |
| 90744 |
|
12 |
12 |
$17.91 |
| Z1034 |
|
7,617 |
5,422 |
$0.00 |
| Z1032 |
|
911 |
903 |
$0.00 |
| 1111F |
|
121 |
114 |
$0.00 |
| 0011A |
|
26 |
26 |
$0.00 |
| 99441 |
|
476 |
400 |
$0.00 |
| 99496 |
|
33 |
32 |
$0.00 |
| Z1038 |
|
15 |
15 |
$0.00 |
| 92551 |
|
16 |
16 |
$0.00 |
| 3008F |
|
20 |
15 |
$0.00 |
| 81003 |
|
1,569 |
1,219 |
$0.00 |
| 90472 |
|
12 |
12 |
$0.00 |
| 0004A |
|
22 |
16 |
$0.00 |
| 99442 |
|
129 |
124 |
$0.00 |
| 99382 |
|
15 |
14 |
$0.00 |