| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
91,427 |
76,561 |
$11.82M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,237 |
26,101 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,098 |
11,505 |
$32K |
| 0001A |
|
236 |
233 |
$16K |
| 0002A |
|
217 |
216 |
$14K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,011 |
786 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19,808 |
13,260 |
$14K |
| 92551 |
|
4,332 |
3,048 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
651 |
475 |
$5K |
| 90688 |
|
1,852 |
1,589 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
761 |
747 |
$3K |
| 0071A |
|
37 |
37 |
$2K |
| 0072A |
|
34 |
34 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
660 |
576 |
$2K |
| 81025 |
|
2,316 |
1,703 |
$2K |
| 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 |
136 |
123 |
$2K |
| 90715 |
|
377 |
324 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,515 |
1,019 |
$1K |
| 0053A |
|
14 |
14 |
$938.00 |
| 0003A |
|
14 |
14 |
$938.00 |
| 81003 |
|
2,284 |
1,541 |
$689.16 |
| 71046 |
Radiologic examination, chest; 2 views |
83 |
63 |
$652.35 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
945 |
645 |
$628.35 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,192 |
1,447 |
$613.90 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,450 |
1,159 |
$471.99 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
292 |
249 |
$450.93 |
| 90837 |
Psychotherapy, 53 minutes with patient |
206 |
132 |
$395.91 |
| 82947 |
|
4,230 |
3,043 |
$368.72 |
| 86580 |
|
202 |
167 |
$336.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
858 |
744 |
$316.69 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
805 |
534 |
$251.64 |
| 90658 |
|
15 |
15 |
$246.30 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,704 |
3,012 |
$179.10 |
| 85018 |
|
7,367 |
5,365 |
$177.62 |
| 90686 |
|
1,011 |
924 |
$129.90 |
| 90656 |
|
273 |
228 |
$91.04 |
| 93000 |
|
16 |
12 |
$75.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
178 |
152 |
$42.88 |
| 82950 |
|
504 |
371 |
$42.12 |
| 90480 |
|
37 |
30 |
$40.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,335 |
1,813 |
$37.39 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,432 |
1,251 |
$34.34 |
| 85014 |
|
112 |
107 |
$9.45 |
| 99173 |
|
2,929 |
2,034 |
$3.99 |
| 81000 |
|
1,622 |
1,330 |
$2.58 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,267 |
5,648 |
$0.00 |
| 90461 |
|
1,459 |
1,131 |
$0.00 |
| 90670 |
|
1,149 |
1,076 |
$0.00 |
| 90707 |
|
101 |
92 |
$0.00 |
| 99188 |
|
72 |
62 |
$0.00 |
| 3078F |
|
385 |
279 |
$0.00 |
| 1159F |
|
452 |
331 |
$0.00 |
| 90734 |
|
490 |
370 |
$0.00 |
| 90671 |
|
127 |
115 |
$0.00 |
| 90700 |
|
49 |
44 |
$0.00 |
| 90681 |
|
368 |
344 |
$0.00 |
| 90633 |
|
732 |
659 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
146 |
98 |
$0.00 |
| 90710 |
|
105 |
83 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
15 |
13 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$0.00 |
| 91320 |
|
20 |
15 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
13 |
13 |
$0.00 |
| 90621 |
|
36 |
30 |
$0.00 |
| 90687 |
|
19 |
19 |
$0.00 |
| 0502F |
|
16 |
14 |
$0.00 |
| 90685 |
|
19 |
19 |
$0.00 |
| 90651 |
|
857 |
693 |
$0.00 |
| 1126F |
|
363 |
269 |
$0.00 |
| 3074F |
|
370 |
267 |
$0.00 |
| 90744 |
|
482 |
453 |
$0.00 |
| 86403 |
|
161 |
157 |
$0.00 |
| 90698 |
|
768 |
713 |
$0.00 |
| 90716 |
|
166 |
147 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
809 |
696 |
$0.00 |
| 90697 |
|
158 |
149 |
$0.00 |
| 90696 |
|
65 |
53 |
$0.00 |
| 92250 |
|
29 |
24 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
102 |
102 |
$0.00 |
| 99381 |
|
47 |
45 |
$0.00 |
| 90619 |
|
175 |
130 |
$0.00 |
| 1038F |
|
29 |
17 |
$0.00 |
| 87490 |
|
37 |
34 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
143 |
127 |
$0.00 |
| 88142 |
|
91 |
91 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
53 |
50 |
$0.00 |
| 87590 |
|
37 |
34 |
$0.00 |