| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,894 |
1,592 |
$73K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,215 |
14,530 |
$65K |
| 92552 |
|
1,673 |
1,668 |
$46K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
421 |
420 |
$45K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
469 |
467 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,370 |
3,248 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
273 |
273 |
$24K |
| 90686 |
|
1,082 |
1,081 |
$21K |
| G9920 |
Screening performed and negative |
361 |
360 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
192 |
192 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
242 |
242 |
$13K |
| 99173 |
|
1,290 |
1,286 |
$8K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
357 |
357 |
$8K |
| 90651 |
|
107 |
107 |
$7K |
| 90715 |
|
178 |
176 |
$5K |
| 96127 |
|
740 |
735 |
$5K |
| 85018 |
|
2,866 |
2,825 |
$5K |
| 90670 |
|
170 |
170 |
$4K |
| 81002 |
|
2,063 |
2,000 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
477 |
464 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
35 |
27 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
427 |
425 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
45 |
38 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
53 |
53 |
$2K |
| 0012A |
|
38 |
38 |
$2K |
| 99188 |
|
56 |
56 |
$2K |
| 81025 |
|
440 |
430 |
$1K |
| 0011A |
|
38 |
38 |
$1K |
| 90656 |
|
57 |
57 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
369 |
353 |
$1K |
| 90734 |
|
51 |
51 |
$1K |
| 0031A |
|
21 |
21 |
$840.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
14 |
14 |
$520.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
186 |
186 |
$406.37 |
| 83655 |
|
45 |
45 |
$388.53 |
| 90698 |
|
12 |
12 |
$207.00 |
| 90633 |
|
12 |
12 |
$198.00 |
| 80305 |
|
16 |
15 |
$179.55 |
| 90648 |
|
12 |
12 |
$171.00 |
| 90662 |
|
13 |
13 |
$157.46 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
37 |
36 |
$19.64 |
| 3074F |
|
884 |
842 |
$0.00 |
| 3079F |
|
182 |
178 |
$0.00 |
| 3075F |
|
132 |
132 |
$0.00 |
| 1036F |
|
907 |
866 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
25 |
25 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| 99499 |
|
103 |
103 |
$0.00 |
| 3078F |
|
847 |
810 |
$0.00 |
| 3046F |
|
127 |
127 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
12 |
12 |
$0.00 |