| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
22,768 |
18,433 |
$2.35M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,036 |
9,662 |
$1.78M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,510 |
7,371 |
$1.43M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
297 |
288 |
$51K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
245 |
229 |
$46K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
187 |
162 |
$30K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,156 |
1,069 |
$16K |
| 90837 |
Psychotherapy, 53 minutes with patient |
79 |
51 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
84 |
78 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
68 |
67 |
$11K |
| G9153 |
Mapcp demonstration - physician incentive pool |
319 |
278 |
$10K |
| 90656 |
|
726 |
611 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
39 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
42 |
42 |
$6K |
| 99051 |
|
374 |
350 |
$4K |
| 92552 |
|
393 |
388 |
$3K |
| 99441 |
|
250 |
121 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
455 |
422 |
$1K |
| 90686 |
|
212 |
188 |
$1K |
| 90662 |
|
18 |
17 |
$628.42 |
| 90715 |
|
17 |
15 |
$554.12 |
| 90461 |
|
80 |
74 |
$461.28 |
| 82962 |
|
227 |
218 |
$239.49 |
| 90688 |
|
111 |
107 |
$218.09 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$145.47 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$133.04 |
| 85610 |
|
38 |
25 |
$51.70 |
| 3008F |
|
40 |
39 |
$0.00 |
| 90734 |
|
14 |
13 |
$0.00 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
13 |
13 |
$0.00 |