| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
56,086 |
38,329 |
$6.67M |
| 0071A |
|
156 |
154 |
$7K |
| 0072A |
|
128 |
128 |
$5K |
| 90658 |
|
1,810 |
1,453 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,579 |
20,068 |
$2K |
| 0002A |
|
39 |
37 |
$2K |
| 0001A |
|
36 |
30 |
$2K |
| 90649 |
|
338 |
310 |
$1K |
| 0054A |
|
33 |
33 |
$1K |
| 0003A |
|
32 |
32 |
$1K |
| 0011A |
|
68 |
68 |
$1K |
| 90837 |
Psychotherapy, 53 minutes with patient |
859 |
520 |
$892.80 |
| 90832 |
Psychotherapy, 30 minutes with patient |
5,410 |
3,026 |
$872.63 |
| 0004A |
|
14 |
14 |
$589.96 |
| 0012A |
|
18 |
18 |
$511.02 |
| 0064A |
|
12 |
12 |
$505.68 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,265 |
2,942 |
$376.95 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,187 |
2,511 |
$359.93 |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,315 |
1,377 |
$347.80 |
| 90686 |
|
1,738 |
1,673 |
$294.80 |
| 90791 |
Psychiatric diagnostic evaluation |
877 |
727 |
$280.52 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,615 |
2,218 |
$194.94 |
| 90633 |
|
827 |
758 |
$170.69 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,082 |
1,989 |
$166.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,975 |
2,693 |
$151.00 |
| 90670 |
|
1,867 |
1,751 |
$105.00 |
| 90723 |
|
1,422 |
1,345 |
$101.20 |
| 99173 |
|
1,337 |
1,238 |
$96.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,049 |
985 |
$96.00 |
| 90461 |
|
1,697 |
1,611 |
$92.00 |
| 85018 |
|
1,609 |
1,423 |
$86.00 |
| 90648 |
|
668 |
633 |
$77.60 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,050 |
2,672 |
$75.00 |
| 92551 |
|
1,087 |
1,003 |
$65.00 |
| 90680 |
|
1,320 |
1,247 |
$60.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
824 |
773 |
$53.30 |
| 90647 |
|
1,117 |
1,043 |
$51.40 |
| 90707 |
|
135 |
114 |
$51.20 |
| 81025 |
|
119 |
108 |
$36.58 |
| 90651 |
|
226 |
220 |
$34.40 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
34 |
30 |
$33.60 |
| 90688 |
|
345 |
339 |
$32.00 |
| 81002 |
|
197 |
168 |
$32.00 |
| 90734 |
|
306 |
284 |
$25.00 |
| 90715 |
|
500 |
466 |
$22.00 |
| 90700 |
|
124 |
112 |
$21.40 |
| 90657 |
|
544 |
460 |
$12.80 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
382 |
345 |
$10.00 |
| 90696 |
|
85 |
69 |
$6.40 |
| 90710 |
|
103 |
85 |
$6.40 |
| 76801 |
|
66 |
56 |
$4.00 |
| 3074F |
|
222 |
174 |
$0.00 |
| 90716 |
|
156 |
134 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
66 |
59 |
$0.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
159 |
148 |
$0.00 |
| 81005 |
|
82 |
80 |
$0.00 |
| 3079F |
|
25 |
25 |
$0.00 |
| 99381 |
|
76 |
65 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
609 |
554 |
$0.00 |
| 3008F |
|
281 |
228 |
$0.00 |
| 94760 |
|
146 |
107 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
134 |
75 |
$0.00 |
| 1036F |
|
33 |
31 |
$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 |
59 |
45 |
$0.00 |
| 90474 |
|
27 |
27 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |
| 0502F |
|
109 |
92 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
194 |
187 |
$0.00 |
| 3078F |
|
227 |
182 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
183 |
126 |
$0.00 |
| 83026 |
|
66 |
62 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
26 |
$0.00 |