| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
65,376 |
57,299 |
$15.00M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
60,713 |
34,850 |
$908K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,928 |
6,676 |
$254K |
| 90834 |
Psychotherapy, 45 minutes with patient |
5,462 |
3,012 |
$225K |
| 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 |
680 |
584 |
$120K |
| 97802 |
|
1,748 |
1,194 |
$105K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,099 |
4,398 |
$95K |
| 90791 |
Psychiatric diagnostic evaluation |
1,097 |
696 |
$95K |
| 97803 |
|
1,402 |
954 |
$72K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
4,831 |
4,777 |
$62K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,700 |
1,007 |
$37K |
| 90832 |
Psychotherapy, 30 minutes with patient |
993 |
567 |
$30K |
| G9920 |
Screening performed and negative |
2,106 |
1,391 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,398 |
861 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,059 |
639 |
$14K |
| 92552 |
|
1,941 |
1,130 |
$10K |
| 0001A |
|
210 |
206 |
$9K |
| 0011A |
|
212 |
212 |
$8K |
| 92551 |
|
2,023 |
1,327 |
$8K |
| 90686 |
|
2,995 |
2,103 |
$7K |
| 0012A |
|
176 |
176 |
$7K |
| 0002A |
|
93 |
93 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
97 |
75 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,933 |
3,992 |
$5K |
| 99173 |
|
4,241 |
2,608 |
$5K |
| 85018 |
|
3,810 |
2,392 |
$4K |
| 0004A |
|
62 |
62 |
$4K |
| 0054A |
|
85 |
85 |
$4K |
| 90688 |
|
208 |
175 |
$3K |
| 0124A |
|
262 |
188 |
$3K |
| 0031A |
|
64 |
64 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
287 |
202 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
837 |
647 |
$2K |
| 90480 |
|
308 |
183 |
$2K |
| 99385 |
|
25 |
15 |
$2K |
| 90656 |
|
179 |
126 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
20 |
12 |
$2K |
| 81002 |
|
1,706 |
1,151 |
$2K |
| 0071A |
|
22 |
21 |
$1K |
| 99215 |
Prolong outpt/office vis |
60 |
35 |
$1K |
| 96158 |
|
32 |
27 |
$1K |
| 90658 |
|
75 |
57 |
$1K |
| 0072A |
|
25 |
25 |
$1K |
| 90651 |
|
806 |
508 |
$944.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
324 |
187 |
$798.98 |
| 90620 |
|
229 |
134 |
$782.64 |
| G9919 |
Screening performed and positive and provision of recommendations |
62 |
37 |
$638.00 |
| 90662 |
|
12 |
12 |
$492.08 |
| 93000 |
|
19 |
12 |
$301.36 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
91 |
79 |
$246.60 |
| 90670 |
|
128 |
90 |
$241.00 |
| 90619 |
|
197 |
123 |
$167.81 |
| 81025 |
|
110 |
79 |
$151.06 |
| 90734 |
|
375 |
249 |
$146.81 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
21 |
12 |
$92.90 |
| 90633 |
|
104 |
73 |
$78.42 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
42 |
27 |
$75.60 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
24 |
12 |
$1.88 |
| 91322 |
|
54 |
36 |
$0.09 |
| 91321 |
|
37 |
22 |
$0.07 |
| 91312 |
|
180 |
129 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,291 |
1,450 |
$0.00 |
| 90715 |
|
65 |
37 |
$0.00 |
| 90648 |
|
50 |
37 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
16 |
16 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
580 |
495 |
$0.00 |
| 90677 |
|
71 |
45 |
$0.00 |
| 90698 |
|
76 |
52 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$0.00 |
| 99383 |
|
23 |
14 |
$0.00 |