| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
39,736 |
25,587 |
$3.21M |
| G9919 |
Screening performed and positive and provision of recommendations |
230 |
163 |
$4K |
| 3074F |
|
4,821 |
3,419 |
$840.00 |
| 3077F |
|
3,907 |
2,848 |
$740.00 |
| 3080F |
|
3,253 |
2,413 |
$700.00 |
| 3079F |
|
3,645 |
2,664 |
$635.00 |
| 3078F |
|
3,481 |
2,469 |
$600.00 |
| 0001A |
|
66 |
43 |
$434.56 |
| 3075F |
|
1,525 |
1,108 |
$210.00 |
| 0012A |
|
80 |
62 |
$37.08 |
| 3044F |
|
46 |
26 |
$20.00 |
| 90734 |
|
150 |
126 |
$0.00 |
| 96160 |
|
7,717 |
4,957 |
$0.00 |
| 81025 |
|
2,721 |
1,995 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,796 |
1,989 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,108 |
4,641 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,720 |
1,244 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
254 |
207 |
$0.00 |
| 81002 |
|
1,316 |
940 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,908 |
1,370 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
500 |
320 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,043 |
756 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
42 |
37 |
$0.00 |
| 99382 |
|
66 |
48 |
$0.00 |
| 82947 |
|
842 |
561 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
72 |
42 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
62 |
58 |
$0.00 |
| 90633 |
|
17 |
15 |
$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 |
118 |
71 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
72 |
47 |
$0.00 |
| 90715 |
|
35 |
29 |
$0.00 |
| 91300 |
|
74 |
51 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
19 |
13 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17 |
12 |
$0.00 |
| 30086 |
|
12 |
12 |
$0.00 |
| 97804 |
|
5,022 |
3,490 |
$0.00 |
| 80047 |
|
3,974 |
2,535 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,210 |
1,017 |
$0.00 |
| 99000 |
|
4,075 |
2,792 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,424 |
1,713 |
$0.00 |
| 85018 |
|
1,205 |
906 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
250 |
215 |
$0.00 |
| 97802 |
|
4,185 |
3,037 |
$0.00 |
| 99406 |
|
1,408 |
927 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,880 |
18,944 |
$0.00 |
| 99386 |
|
153 |
116 |
$0.00 |
| 3008F |
|
14,532 |
9,786 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
17,118 |
11,521 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,751 |
2,849 |
$0.00 |
| 87850 |
|
200 |
140 |
$0.00 |
| 81015 |
|
2,497 |
1,832 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,972 |
2,773 |
$0.00 |
| 99383 |
|
168 |
127 |
$0.00 |
| 87110 |
|
1,387 |
954 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,025 |
791 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
4,429 |
3,128 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,148 |
869 |
$0.00 |
| 90651 |
|
167 |
134 |
$0.00 |
| 1111F |
|
4,193 |
3,069 |
$0.00 |
| 99495 |
|
735 |
543 |
$0.00 |
| 99385 |
|
672 |
499 |
$0.00 |
| 91301 |
|
174 |
138 |
$0.00 |
| 86593 |
|
115 |
80 |
$0.00 |
| 87428 |
|
1,621 |
1,110 |
$0.00 |
| 99384 |
|
154 |
137 |
$0.00 |
| 90686 |
|
102 |
80 |
$0.00 |
| 0011A |
|
73 |
61 |
$0.00 |
| 87623 |
|
15 |
12 |
$0.00 |