| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
19,177 |
15,508 |
$10.33M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,742 |
6,909 |
$120K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,649 |
4,153 |
$108K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
826 |
780 |
$36K |
| 87430 |
|
135 |
134 |
$15K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
131 |
130 |
$6K |
| V2020 |
Frames, purchases |
162 |
161 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
60 |
27 |
$197.42 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
31 |
27 |
$9.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
132 |
131 |
$5.80 |
| D1206 |
Topical application of fluoride varnish |
802 |
638 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
126 |
80 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
109 |
109 |
$0.00 |
| 0011A |
|
13 |
13 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
31 |
24 |
$0.00 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
51 |
48 |
$0.00 |
| 0144A |
|
34 |
34 |
$0.00 |
| 91301 |
|
223 |
222 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
51 |
48 |
$0.00 |
| 0012A |
|
24 |
24 |
$0.00 |
| 91314 |
|
34 |
34 |
$0.00 |
| 0134A |
|
22 |
22 |
$0.00 |
| 90686 |
|
39 |
39 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
121 |
119 |
$0.00 |
| D1120 |
Prophylaxis - child |
363 |
294 |
$0.00 |
| 3210F |
|
211 |
210 |
$0.00 |
| 92015 |
Determination of refractive state |
139 |
137 |
$0.00 |
| 0013A |
|
19 |
19 |
$0.00 |
| 91313 |
|
22 |
22 |
$0.00 |
| 87400 |
|
12 |
12 |
$0.00 |