| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
35,276 |
25,292 |
$7.05M |
| 98940 |
|
26,787 |
14,341 |
$362K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
24,242 |
10,953 |
$228K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,345 |
3,866 |
$21K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
206 |
149 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,379 |
1,266 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
35 |
35 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
527 |
489 |
$2K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
133 |
126 |
$2K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
772 |
750 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
17 |
17 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
226 |
226 |
$644.40 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
32 |
32 |
$520.01 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
63 |
63 |
$427.35 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
42 |
42 |
$363.21 |
| 97803 |
|
16 |
16 |
$260.71 |
| 90686 |
|
344 |
344 |
$44.60 |
| 81025 |
|
332 |
310 |
$11.20 |
| 81002 |
|
558 |
466 |
$2.15 |
| 85018 |
|
777 |
775 |
$0.00 |
| Z6410 |
|
583 |
571 |
$0.00 |
| 92551 |
|
487 |
486 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
571 |
494 |
$0.00 |
| 96156 |
|
12 |
12 |
$0.00 |
| Z6204 |
|
37 |
37 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
94 |
94 |
$0.00 |
| H2000 |
Comprehensive multidisciplinary evaluation |
13 |
13 |
$0.00 |
| 90688 |
|
75 |
75 |
$0.00 |
| 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 |
88 |
85 |
$0.00 |
| Z6406 |
|
26 |
26 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
14 |
12 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 96151 |
|
14 |
14 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
64 |
64 |
$0.00 |
| 99173 |
|
408 |
408 |
$0.00 |
| Z6400 |
|
1,003 |
1,003 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
232 |
232 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
149 |
134 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
13 |
12 |
$0.00 |
| 99401 |
|
15 |
15 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31 |
31 |
$0.00 |
| Z6304 |
|
24 |
24 |
$0.00 |
| Z6500 |
|
29 |
29 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 59425 |
|
20 |
13 |
$0.00 |