| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
121,783 |
111,555 |
$33.26M |
| 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 |
5,962 |
5,064 |
$1.31M |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,463 |
1,422 |
$91K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,410 |
640 |
$68K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
102,145 |
58,019 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
54,072 |
31,916 |
$48K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,827 |
944 |
$47K |
| 90791 |
Psychiatric diagnostic evaluation |
422 |
241 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,418 |
975 |
$4K |
| 90677 |
|
282 |
184 |
$4K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
48 |
27 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
494 |
297 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,691 |
1,437 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,406 |
2,484 |
$1K |
| 90480 |
|
339 |
328 |
$1K |
| 90686 |
|
5,709 |
3,451 |
$861.83 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,285 |
4,105 |
$844.30 |
| 90670 |
|
1,023 |
655 |
$792.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,697 |
2,146 |
$740.34 |
| 0001A |
|
18 |
15 |
$670.00 |
| 90648 |
|
801 |
509 |
$630.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,606 |
1,459 |
$542.79 |
| G9920 |
Screening performed and negative |
325 |
307 |
$493.00 |
| 90688 |
|
3,768 |
2,699 |
$406.20 |
| 0004A |
|
16 |
12 |
$402.00 |
| 90723 |
|
383 |
262 |
$390.00 |
| 90651 |
|
434 |
264 |
$350.38 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,821 |
3,537 |
$238.66 |
| 90681 |
|
123 |
90 |
$220.00 |
| 90697 |
|
172 |
111 |
$160.00 |
| 94760 |
|
590 |
558 |
$122.08 |
| 99188 |
|
642 |
372 |
$99.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
305 |
197 |
$92.44 |
| 90633 |
|
443 |
260 |
$90.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
69 |
39 |
$84.62 |
| 99215 |
Prolong outpt/office vis |
63 |
38 |
$71.50 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
37 |
37 |
$65.89 |
| 99386 |
|
26 |
14 |
$57.53 |
| 93000 |
|
121 |
73 |
$48.19 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
540 |
301 |
$46.00 |
| 90715 |
|
280 |
181 |
$37.98 |
| 90656 |
|
689 |
415 |
$36.81 |
| 92551 |
|
298 |
285 |
$22.44 |
| 81002 |
|
148 |
92 |
$21.33 |
| 90658 |
|
719 |
526 |
$21.22 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,731 |
5,330 |
$20.73 |
| 90734 |
|
67 |
38 |
$20.00 |
| 91321 |
|
196 |
184 |
$0.14 |
| 90461 |
|
2,634 |
2,434 |
$0.00 |
| 99173 |
|
308 |
291 |
$0.00 |
| 81003 |
|
62 |
39 |
$0.00 |
| 91313 |
|
325 |
313 |
$0.00 |
| 99401 |
|
67 |
52 |
$0.00 |
| 97803 |
|
25 |
25 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
43 |
43 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 90710 |
|
33 |
22 |
$0.00 |
| 0134A |
|
292 |
282 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
7,164 |
5,333 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
610 |
610 |
$0.00 |
| 99000 |
|
4,063 |
4,043 |
$0.00 |
| 90620 |
|
152 |
95 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
150 |
150 |
$0.00 |
| 90732 |
|
40 |
24 |
$0.00 |
| 85018 |
|
201 |
163 |
$0.00 |
| 99174 |
|
402 |
362 |
$0.00 |
| Z6406 |
|
220 |
180 |
$0.00 |
| 90716 |
|
43 |
24 |
$0.00 |
| 81000 |
|
20 |
12 |
$0.00 |
| 96156 |
|
13 |
12 |
$0.00 |
| 90619 |
|
106 |
54 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
44 |
44 |
$0.00 |
| 93040 |
|
27 |
16 |
$0.00 |
| 96127 |
|
34 |
26 |
$0.00 |
| 90696 |
|
30 |
20 |
$0.00 |
| 96151 |
|
13 |
13 |
$0.00 |