| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
21,954 |
17,757 |
$2.58M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,372 |
8,258 |
$106K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,224 |
8,047 |
$63K |
| 99215 |
Prolong outpt/office vis |
2,798 |
2,589 |
$28K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
2,412 |
2,055 |
$25K |
| 98928 |
|
1,187 |
1,093 |
$7K |
| 90837 |
Psychotherapy, 53 minutes with patient |
165 |
121 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
355 |
212 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
102 |
82 |
$1K |
| 98927 |
|
86 |
69 |
$544.62 |
| G0008 |
Administration of influenza virus vaccine |
108 |
101 |
$527.23 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
141 |
133 |
$293.37 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
726 |
685 |
$247.15 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
58 |
54 |
$171.38 |
| 98929 |
|
29 |
26 |
$82.22 |
| 90686 |
|
382 |
353 |
$27.45 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
57 |
57 |
$0.00 |
| 99442 |
|
17 |
16 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
43 |
39 |
$0.00 |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
16 |
13 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
25 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
26 |
$0.00 |
| 90656 |
|
16 |
16 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
51 |
29 |
$0.00 |
| U0005 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
16 |
13 |
$0.00 |