| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
43,546 |
34,680 |
$7.35M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,602 |
17,871 |
$112K |
| 59425 |
|
881 |
571 |
$39K |
| 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 |
4,253 |
3,539 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,978 |
4,271 |
$27K |
| G9920 |
Screening performed and negative |
2,743 |
2,292 |
$11K |
| 90686 |
|
664 |
514 |
$11K |
| 92551 |
|
3,857 |
2,873 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
525 |
325 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,041 |
717 |
$4K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
287 |
150 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,124 |
783 |
$4K |
| 0012A |
|
57 |
57 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
387 |
218 |
$2K |
| 0011A |
|
36 |
36 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
65 |
55 |
$2K |
| 99000 |
|
4,456 |
3,091 |
$2K |
| 0072A |
|
26 |
26 |
$2K |
| 99401 |
|
130 |
97 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,577 |
1,147 |
$1K |
| 0071A |
|
18 |
18 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
710 |
556 |
$874.38 |
| 0004A |
|
13 |
13 |
$871.00 |
| 0002A |
|
13 |
13 |
$871.00 |
| 0001A |
|
13 |
13 |
$871.00 |
| 81025 |
|
593 |
454 |
$723.11 |
| 90715 |
|
22 |
13 |
$538.69 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,036 |
4,726 |
$471.55 |
| 99188 |
|
1,176 |
850 |
$470.73 |
| 99215 |
Prolong outpt/office vis |
53 |
40 |
$376.55 |
| 85018 |
|
7,459 |
5,632 |
$348.02 |
| 96156 |
|
30 |
25 |
$315.00 |
| 90656 |
|
36 |
32 |
$275.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,356 |
1,796 |
$201.53 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
611 |
445 |
$138.61 |
| 97803 |
|
13 |
12 |
$72.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
488 |
174 |
$45.39 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
186 |
115 |
$32.20 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
80 |
61 |
$30.75 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
55 |
55 |
$8.22 |
| 81002 |
|
219 |
177 |
$7.74 |
| 81003 |
|
35 |
24 |
$0.30 |
| 3078F |
|
2,217 |
1,937 |
$0.00 |
| 99173 |
|
3,494 |
2,520 |
$0.00 |
| 1159F |
|
10,032 |
6,535 |
$0.00 |
| 3077F |
|
364 |
287 |
$0.00 |
| 1160F |
|
10,032 |
6,535 |
$0.00 |
| 96160 |
|
468 |
389 |
$0.00 |
| 90473 |
|
107 |
63 |
$0.00 |
| 98942 |
|
92 |
87 |
$0.00 |
| 59426 |
|
40 |
24 |
$0.00 |
| Z6304 |
|
18 |
15 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
12 |
12 |
$0.00 |
| Z1034 |
|
875 |
602 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
763 |
745 |
$0.00 |
| Z6410 |
|
348 |
188 |
$0.00 |
| 36416 |
|
3,224 |
2,772 |
$0.00 |
| 3008F |
|
3,428 |
2,894 |
$0.00 |
| 3080F |
|
102 |
83 |
$0.00 |
| 96127 |
|
109 |
108 |
$0.00 |
| Z6204 |
|
46 |
40 |
$0.00 |
| 3074F |
|
2,502 |
2,167 |
$0.00 |
| Z1032 |
|
26 |
26 |
$0.00 |
| 3079F |
|
603 |
568 |
$0.00 |
| 3075F |
|
227 |
219 |
$0.00 |
| 1111F |
|
545 |
422 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
48 |
47 |
$0.00 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
109 |
102 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
16 |
16 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
23 |
12 |
$0.00 |