| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,999 |
17,382 |
$1.01M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,348 |
9,191 |
$611K |
| T1015 |
Clinic visit/encounter, all-inclusive |
2,973 |
2,000 |
$393K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,772 |
1,678 |
$130K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,364 |
1,294 |
$98K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,169 |
1,009 |
$78K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
751 |
704 |
$57K |
| 90832 |
Psychotherapy, 30 minutes with patient |
951 |
697 |
$50K |
| 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 |
2,583 |
2,089 |
$26K |
| 90686 |
|
1,636 |
1,531 |
$19K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
745 |
684 |
$19K |
| 90670 |
|
624 |
582 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
950 |
863 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
164 |
144 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
95 |
84 |
$9K |
| 90651 |
|
312 |
301 |
$8K |
| 90698 |
|
395 |
367 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
710 |
653 |
$8K |
| 90680 |
|
218 |
208 |
$6K |
| 99173 |
|
2,743 |
2,610 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,614 |
2,395 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
173 |
152 |
$6K |
| 90677 |
|
68 |
64 |
$5K |
| 90834 |
Psychotherapy, 45 minutes with patient |
63 |
51 |
$5K |
| 81002 |
|
2,221 |
1,487 |
$5K |
| 92551 |
|
486 |
458 |
$4K |
| 90633 |
|
315 |
291 |
$4K |
| 90734 |
|
156 |
147 |
$3K |
| 90744 |
|
214 |
203 |
$3K |
| 90715 |
|
101 |
97 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
33 |
30 |
$2K |
| 90671 |
|
25 |
24 |
$2K |
| 90688 |
|
66 |
60 |
$1K |
| 90656 |
|
94 |
94 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
962 |
893 |
$1K |
| 90685 |
|
60 |
60 |
$717.67 |
| 81025 |
|
154 |
134 |
$711.83 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
16 |
16 |
$549.00 |
| 90687 |
|
82 |
74 |
$405.26 |
| 90710 |
|
12 |
12 |
$164.40 |
| 87210 |
|
27 |
24 |
$69.70 |