| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
97,663 |
86,686 |
$19.90M |
| 99499 |
|
3,803 |
3,528 |
$34K |
| 0002A |
|
382 |
376 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,113 |
25,984 |
$15K |
| 0001A |
|
338 |
335 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14,427 |
13,326 |
$10K |
| 0012A |
|
263 |
263 |
$10K |
| 0011A |
|
187 |
186 |
$6K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
439 |
330 |
$6K |
| 3725F |
|
1,827 |
1,747 |
$6K |
| 0072A |
|
159 |
155 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,477 |
6,018 |
$4K |
| 0071A |
|
138 |
137 |
$4K |
| 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 |
241 |
218 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,004 |
4,499 |
$3K |
| 3077F |
|
611 |
584 |
$3K |
| 90480 |
|
334 |
321 |
$2K |
| 3074F |
|
466 |
444 |
$2K |
| 3079F |
|
489 |
463 |
$2K |
| 3078F |
|
386 |
375 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,368 |
1,328 |
$1K |
| 0502F |
|
433 |
300 |
$1K |
| 0064A |
|
31 |
31 |
$1K |
| 0111A |
|
36 |
36 |
$1K |
| 90686 |
|
3,593 |
3,538 |
$952.81 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,788 |
1,743 |
$694.40 |
| 90461 |
|
1,379 |
1,248 |
$623.03 |
| 92551 |
|
4,977 |
4,820 |
$570.69 |
| 99173 |
|
6,506 |
6,295 |
$567.67 |
| 11721 |
|
1,024 |
985 |
$546.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,819 |
2,613 |
$528.56 |
| 0031A |
|
14 |
14 |
$480.00 |
| 3075F |
|
106 |
105 |
$448.93 |
| 0134A |
|
12 |
12 |
$440.00 |
| 0112A |
|
12 |
12 |
$440.00 |
| 3080F |
|
101 |
97 |
$273.50 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,489 |
1,420 |
$203.20 |
| 90620 |
|
255 |
250 |
$190.00 |
| 80061 |
Lipid panel |
814 |
715 |
$180.00 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
65 |
60 |
$147.32 |
| 91321 |
|
90 |
90 |
$100.00 |
| 81025 |
|
3,081 |
2,923 |
$85.80 |
| 99215 |
Prolong outpt/office vis |
54 |
45 |
$70.25 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
781 |
751 |
$20.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
135 |
131 |
$20.00 |
| 88142 |
|
95 |
91 |
$10.00 |
| 81000 |
|
684 |
589 |
$7.91 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90680 |
|
50 |
50 |
$0.00 |
| 90651 |
|
442 |
431 |
$0.00 |
| 90723 |
|
98 |
96 |
$0.00 |
| 90656 |
|
257 |
255 |
$0.00 |
| 1036F |
|
133 |
125 |
$0.00 |
| 91301 |
|
49 |
49 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
207 |
196 |
$0.00 |
| 1031F |
|
170 |
162 |
$0.00 |
| D1330 |
|
184 |
66 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
38 |
33 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
26 |
26 |
$0.00 |
| D1310 |
|
53 |
13 |
$0.00 |
| 90698 |
|
14 |
14 |
$0.00 |
| 86580 |
|
13 |
13 |
$0.00 |
| G0124 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician |
26 |
26 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
156 |
156 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
588 |
555 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
179 |
177 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
214 |
205 |
$0.00 |
| 90648 |
|
439 |
429 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
717 |
489 |
$0.00 |
| 90633 |
|
209 |
206 |
$0.00 |
| 90671 |
|
25 |
24 |
$0.00 |
| 90710 |
|
128 |
127 |
$0.00 |
| 90670 |
|
338 |
331 |
$0.00 |
| 90734 |
|
361 |
351 |
$0.00 |
| 91322 |
|
22 |
22 |
$0.00 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
50 |
50 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$0.00 |
| 90715 |
|
32 |
31 |
$0.00 |
| 90700 |
|
74 |
72 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 91300 |
|
51 |
48 |
$0.00 |
| 90682 |
|
13 |
13 |
$0.00 |