| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
8,241 |
7,401 |
$1.08M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,826 |
5,545 |
$113K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,741 |
5,346 |
$88K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
3,646 |
1,675 |
$36K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
699 |
616 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,090 |
1,057 |
$10K |
| 0012A |
|
283 |
282 |
$9K |
| 98940 |
|
895 |
447 |
$6K |
| 0011A |
|
222 |
220 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
133 |
126 |
$6K |
| 90686 |
|
631 |
596 |
$5K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
257 |
245 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
234 |
228 |
$2K |
| 0001A |
|
36 |
35 |
$1K |
| 0031A |
|
43 |
43 |
$1K |
| 0002A |
|
26 |
26 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
107 |
107 |
$965.24 |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,749 |
2,600 |
$921.11 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
26 |
$919.86 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
25 |
$876.85 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27 |
27 |
$845.70 |
| 0064A |
|
25 |
25 |
$840.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
31 |
26 |
$800.92 |
| 90461 |
|
45 |
42 |
$730.72 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
27 |
25 |
$626.08 |
| 90656 |
|
58 |
58 |
$420.65 |
| 99385 |
|
20 |
15 |
$417.28 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
479 |
443 |
$212.43 |
| 90674 |
|
13 |
13 |
$194.81 |
| 99442 |
|
39 |
38 |
$190.92 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
22 |
15 |
$158.76 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
34 |
34 |
$151.85 |
| 81002 |
|
158 |
122 |
$9.92 |
| 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 |
61 |
57 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
92 |
90 |
$0.00 |
| 96150 |
|
61 |
61 |
$0.00 |
| 91301 |
|
463 |
442 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
43 |
40 |
$0.00 |
| 91303 |
|
19 |
19 |
$0.00 |
| 99000 |
|
30 |
29 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$0.00 |
| 99441 |
|
25 |
22 |
$0.00 |
| 91306 |
|
20 |
20 |
$0.00 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
12 |
12 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
887 |
887 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
103 |
99 |
$0.00 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$0.00 |
| 96158 |
|
39 |
38 |
$0.00 |
| 91300 |
|
61 |
54 |
$0.00 |