| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
35,812 |
31,234 |
$8.46M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,575 |
21,822 |
$156K |
| 59425 |
|
1,770 |
1,140 |
$129K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,039 |
13,207 |
$97K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
868 |
867 |
$39K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
701 |
700 |
$39K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
829 |
824 |
$36K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,308 |
1,221 |
$34K |
| 90686 |
|
2,872 |
2,866 |
$34K |
| 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 |
7,015 |
6,119 |
$27K |
| 97803 |
|
405 |
402 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
319 |
317 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,950 |
3,810 |
$20K |
| 92551 |
|
3,360 |
3,351 |
$20K |
| 97802 |
|
157 |
155 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
670 |
661 |
$16K |
| 90837 |
Psychotherapy, 53 minutes with patient |
414 |
175 |
$11K |
| 90651 |
|
473 |
473 |
$11K |
| 90715 |
|
445 |
444 |
$10K |
| 90750 |
|
122 |
122 |
$9K |
| 99442 |
|
261 |
250 |
$9K |
| 90670 |
|
644 |
642 |
$8K |
| 0969 |
|
105 |
77 |
$7K |
| 99188 |
|
252 |
252 |
$5K |
| 90648 |
|
572 |
564 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
420 |
415 |
$4K |
| 90682 |
|
67 |
67 |
$3K |
| 90734 |
|
290 |
290 |
$3K |
| 90723 |
|
276 |
275 |
$2K |
| 81002 |
|
5,706 |
5,076 |
$2K |
| 92250 |
|
42 |
42 |
$2K |
| 90688 |
|
146 |
146 |
$2K |
| 90620 |
|
53 |
53 |
$2K |
| 99406 |
|
230 |
213 |
$2K |
| 0054A |
|
30 |
15 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
104 |
104 |
$1K |
| 81025 |
|
372 |
362 |
$1K |
| 0064A |
|
21 |
21 |
$1K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$944.59 |
| 90680 |
|
112 |
110 |
$883.80 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
994 |
958 |
$861.27 |
| 0124A |
|
12 |
12 |
$804.00 |
| 99173 |
|
1,164 |
1,161 |
$795.00 |
| 90633 |
|
76 |
76 |
$793.78 |
| 90662 |
|
199 |
199 |
$790.04 |
| 86580 |
|
157 |
152 |
$581.68 |
| 82948 |
|
1,698 |
1,564 |
$504.58 |
| 90681 |
|
24 |
24 |
$456.45 |
| 82274 |
|
18 |
18 |
$343.62 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
12 |
12 |
$252.28 |
| 85018 |
|
100 |
100 |
$219.81 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
61 |
61 |
$211.64 |
| 90710 |
|
14 |
14 |
$126.00 |
| 96127 |
|
26 |
26 |
$106.26 |
| 91322 |
|
12 |
12 |
$0.00 |
| 96160 |
|
135 |
135 |
$0.00 |
| Z1034 |
|
1,435 |
990 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
70 |
70 |
$0.00 |
| 90656 |
|
93 |
93 |
$0.00 |