| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
50,743 |
38,894 |
$7.11M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,310 |
24,398 |
$50K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,018 |
8,816 |
$13K |
| 99307 |
|
1,581 |
1,249 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,538 |
1,470 |
$1K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
24 |
24 |
$601.65 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
50 |
46 |
$561.12 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
12 |
12 |
$421.87 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,074 |
1,016 |
$318.56 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,302 |
1,270 |
$316.56 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,135 |
4,039 |
$19.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
246 |
233 |
$0.26 |
| 81003 |
|
3,540 |
2,831 |
$0.00 |
| 80061 |
Lipid panel |
1,345 |
1,317 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
783 |
760 |
$0.00 |
| 81025 |
|
547 |
526 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,052 |
2,004 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
44 |
40 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
310 |
303 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
478 |
465 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
551 |
540 |
$0.00 |
| 83655 |
|
70 |
70 |
$0.00 |
| 59426 |
|
55 |
30 |
$0.00 |
| 82570 |
|
12 |
12 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
24 |
20 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
47 |
47 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,079 |
1,052 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,270 |
2,152 |
$0.00 |
| 90474 |
|
247 |
241 |
$0.00 |
| 82044 |
|
12 |
12 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
151 |
123 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,754 |
1,585 |
$0.00 |
| 36416 |
|
620 |
589 |
$0.00 |
| 90686 |
|
779 |
765 |
$0.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
28 |
26 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
208 |
191 |
$0.00 |
| 85018 |
|
53 |
52 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
55 |
55 |
$0.00 |
| 90656 |
|
67 |
66 |
$0.00 |