| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
134,670 |
117,952 |
$25.45M |
| T1015 |
Clinic visit/encounter, all-inclusive |
112,745 |
80,435 |
$20.94M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40,180 |
36,369 |
$6.81M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16,054 |
13,492 |
$3.00M |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
9,491 |
2,135 |
$1.80M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,251 |
6,714 |
$1.74M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,093 |
5,697 |
$1.46M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,711 |
5,253 |
$1.34M |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
4,994 |
4,554 |
$1.12M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,527 |
4,204 |
$1.05M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
3,417 |
2,774 |
$859K |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
3,113 |
862 |
$751K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,111 |
2,879 |
$712K |
| 99215 |
Prolong outpt/office vis |
649 |
599 |
$96K |
| H0001 |
Alcohol and/or drug assessment |
314 |
301 |
$77K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,922 |
3,012 |
$66K |
| 80305 |
|
10,039 |
7,525 |
$46K |
| 36416 |
|
3,996 |
3,419 |
$44K |
| 90686 |
|
7,296 |
6,731 |
$40K |
| H0016 |
Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) |
157 |
146 |
$38K |
| 82962 |
|
6,610 |
5,994 |
$34K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
161 |
153 |
$32K |
| 99381 |
|
138 |
127 |
$28K |
| 90670 |
|
4,005 |
3,779 |
$27K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,755 |
2,505 |
$25K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,273 |
1,050 |
$23K |
| 90651 |
|
3,451 |
3,161 |
$22K |
| 82948 |
|
7,349 |
6,405 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
142 |
113 |
$19K |
| 90647 |
|
2,185 |
2,073 |
$16K |
| 90723 |
|
2,019 |
1,946 |
$15K |
| 0001A |
|
463 |
430 |
$15K |
| 90734 |
|
1,809 |
1,706 |
$13K |
| 0002A |
|
340 |
320 |
$12K |
| 0012A |
|
452 |
403 |
$12K |
| 90756 |
|
2,552 |
2,234 |
$12K |
| 90633 |
|
2,028 |
1,904 |
$12K |
| 90710 |
|
1,894 |
1,788 |
$11K |
| G0008 |
Administration of influenza virus vaccine |
609 |
503 |
$9K |
| 0011A |
|
502 |
440 |
$9K |
| 90680 |
|
1,110 |
1,069 |
$9K |
| 90620 |
|
1,331 |
1,231 |
$8K |
| 0071A |
|
182 |
175 |
$7K |
| 3074F |
|
12,595 |
11,741 |
$7K |
| 90837 |
Psychotherapy, 53 minutes with patient |
871 |
583 |
$7K |
| 90677 |
|
334 |
321 |
$7K |
| 90715 |
|
985 |
907 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
25 |
25 |
$6K |
| 0064A |
|
158 |
142 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
31 |
26 |
$6K |
| 3008F |
|
13,062 |
12,044 |
$6K |
| 0072A |
|
151 |
147 |
$6K |
| 90688 |
|
1,451 |
1,367 |
$6K |
| 3078F |
|
11,308 |
10,541 |
$5K |
| 0004A |
|
112 |
97 |
$4K |
| 98968 |
|
429 |
344 |
$3K |
| 0052A |
|
115 |
101 |
$3K |
| 99383 |
|
13 |
13 |
$3K |
| 90697 |
|
775 |
711 |
$3K |
| 0054A |
|
127 |
107 |
$3K |
| 90619 |
|
683 |
650 |
$3K |
| 0124A |
|
89 |
85 |
$3K |
| 99384 |
|
16 |
15 |
$3K |
| 99385 |
|
12 |
12 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
405 |
371 |
$2K |
| 99442 |
|
235 |
226 |
$2K |
| 83037 |
|
1,090 |
1,002 |
$2K |
| 90696 |
|
325 |
301 |
$2K |
| 0051A |
|
84 |
76 |
$2K |
| 99173 |
|
6,654 |
6,278 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
539 |
489 |
$2K |
| 90694 |
|
157 |
152 |
$2K |
| 81002 |
|
11,657 |
9,607 |
$1K |
| 90700 |
|
201 |
174 |
$1K |
| 81000 |
|
3,008 |
1,939 |
$1K |
| 90658 |
|
139 |
136 |
$1K |
| 3079F |
|
4,033 |
3,771 |
$1K |
| 3075F |
|
1,553 |
1,438 |
$940.00 |
| 1036F |
|
6,260 |
5,767 |
$839.35 |
| 3077F |
|
2,033 |
1,900 |
$775.00 |
| 93000 |
|
278 |
259 |
$744.15 |
| 90681 |
|
120 |
104 |
$675.12 |
| 81025 |
|
8,001 |
6,975 |
$612.61 |
| 92551 |
|
1,498 |
1,387 |
$587.67 |
| 3016F |
|
9,267 |
8,630 |
$567.36 |
| 4293F |
|
4,965 |
4,608 |
$567.36 |
| 3080F |
|
1,412 |
1,322 |
$520.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
521 |
467 |
$506.04 |
| 1034F |
|
4,015 |
3,655 |
$271.99 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
28 |
$244.23 |
| 91306 |
|
155 |
139 |
$215.65 |
| 90713 |
|
20 |
20 |
$209.52 |
| 90655 |
|
16 |
16 |
$162.96 |
| 0500F |
|
14 |
13 |
$150.00 |
| 3046F |
|
26 |
26 |
$110.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
197 |
87 |
$101.80 |
| 98967 |
|
17 |
13 |
$96.56 |
| 90744 |
|
13 |
13 |
$93.12 |
| W7000 |
|
17 |
17 |
$77.10 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
4,733 |
4,347 |
$60.00 |
| 0503F |
|
13 |
12 |
$50.00 |
| 90716 |
|
17 |
12 |
$46.56 |
| 92250 |
|
58 |
53 |
$37.09 |
| 96127 |
|
21 |
20 |
$28.26 |
| 4004F |
|
1,955 |
1,794 |
$0.00 |
| 2028F |
|
101 |
88 |
$0.00 |
| 99188 |
|
30 |
29 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
144 |
135 |
$0.00 |
| 82570 |
|
260 |
243 |
$0.00 |
| 86328 |
|
42 |
39 |
$0.00 |
| 83655 |
|
176 |
164 |
$0.00 |
| 91300 |
|
935 |
820 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
13 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
74 |
66 |
$0.00 |
| 87210 |
|
52 |
41 |
$0.00 |
| 91312 |
|
85 |
82 |
$0.00 |
| 90653 |
|
18 |
18 |
$0.00 |
| 1126F |
|
2,558 |
2,379 |
$0.00 |
| 1000F |
|
10,650 |
9,792 |
$0.00 |
| 1125F |
|
742 |
676 |
$0.00 |
| 91301 |
|
1,067 |
921 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
427 |
408 |
$0.00 |
| 90632 |
|
72 |
67 |
$0.00 |
| 91305 |
|
414 |
356 |
$0.00 |
| 91307 |
|
361 |
330 |
$0.00 |
| 81001 |
|
173 |
164 |
$0.00 |
| Q2036 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) |
67 |
66 |
$0.00 |
| 99000 |
|
17 |
12 |
$0.00 |
| 86580 |
|
16 |
14 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
16 |
14 |
$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 |
5,134 |
4,841 |
$-429876.64 |