| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
14,215 |
9,216 |
$445K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,558 |
12,363 |
$404K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,855 |
6,031 |
$282K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
11,417 |
6,466 |
$274K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
7,828 |
3,668 |
$128K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,276 |
2,980 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
645 |
428 |
$13K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
328 |
253 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
348 |
267 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
631 |
387 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
185 |
119 |
$7K |
| 99307 |
|
336 |
254 |
$6K |
| 99382 |
|
148 |
97 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
166 |
126 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
522 |
189 |
$4K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
445 |
317 |
$3K |
| 99215 |
Prolong outpt/office vis |
22 |
15 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
73 |
39 |
$957.30 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$797.28 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
70 |
48 |
$608.29 |
| 90686 |
|
46 |
29 |
$535.62 |
| 99050 |
|
14 |
14 |
$247.24 |
| 81003 |
|
197 |
117 |
$147.68 |
| 90656 |
|
15 |
14 |
$133.47 |
| 96127 |
|
54 |
40 |
$116.96 |
| 3008F |
|
13,738 |
8,223 |
$0.84 |
| 3074F |
|
1,797 |
1,270 |
$0.02 |
| 3077F |
|
79 |
67 |
$0.02 |
| 3078F |
|
1,862 |
1,319 |
$0.02 |
| 1036F |
|
4,172 |
3,416 |
$0.00 |
| 1000F |
|
7,806 |
4,772 |
$0.00 |
| 1101F |
|
154 |
84 |
$0.00 |
| 3075F |
|
48 |
38 |
$0.00 |
| 3079F |
|
127 |
102 |
$0.00 |
| 3288F |
|
2,110 |
1,338 |
$0.00 |
| 98960 |
|
107 |
90 |
$0.00 |
| 4004F |
|
220 |
190 |
$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 |