| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
34,053 |
24,702 |
$5.95M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,707 |
13,640 |
$444K |
| 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 |
4,753 |
4,183 |
$281K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,079 |
6,503 |
$207K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,689 |
4,364 |
$133K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,644 |
2,383 |
$98K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,779 |
1,857 |
$82K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
920 |
897 |
$37K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,012 |
1,003 |
$33K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,520 |
1,436 |
$17K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
122 |
119 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
901 |
898 |
$14K |
| 90791 |
Psychiatric diagnostic evaluation |
420 |
392 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
644 |
642 |
$14K |
| 87428 |
|
390 |
384 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
4,527 |
4,250 |
$9K |
| G0008 |
Administration of influenza virus vaccine |
1,702 |
1,639 |
$8K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,018 |
618 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
782 |
720 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,127 |
1,067 |
$5K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
62 |
40 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
357 |
288 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
434 |
424 |
$3K |
| 90674 |
|
196 |
194 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
165 |
161 |
$2K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
67 |
64 |
$1K |
| 0031A |
|
60 |
59 |
$993.65 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
145 |
139 |
$364.06 |
| 81002 |
|
168 |
154 |
$301.73 |
| 99188 |
|
12 |
12 |
$240.00 |
| 90686 |
|
531 |
524 |
$192.46 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
107 |
103 |
$150.11 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
56 |
51 |
$61.07 |
| 99215 |
Prolong outpt/office vis |
77 |
76 |
$30.32 |
| 0011A |
|
13 |
13 |
$15.87 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
260 |
251 |
$0.00 |
| 91303 |
|
57 |
57 |
$0.00 |
| 90620 |
|
52 |
52 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
27 |
27 |
$0.00 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
98 |
98 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |