| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
15,653 |
13,599 |
$2.10M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,417 |
4,142 |
$262K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,572 |
3,336 |
$224K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,218 |
1,183 |
$82K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,115 |
1,080 |
$80K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,042 |
1,029 |
$79K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
999 |
972 |
$77K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
748 |
731 |
$56K |
| 90834 |
Psychotherapy, 45 minutes with patient |
231 |
136 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,827 |
2,997 |
$13K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
831 |
798 |
$8K |
| 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 |
143 |
136 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
748 |
728 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
617 |
594 |
$3K |
| 90461 |
|
1,906 |
1,535 |
$3K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
136 |
126 |
$2K |
| CP002 |
|
236 |
213 |
$2K |
| 90620 |
|
31 |
29 |
$1K |
| 99384 |
|
15 |
15 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
15 |
15 |
$1K |
| 99383 |
|
13 |
12 |
$818.37 |
| 87807 |
|
281 |
278 |
$715.00 |
| 0002A |
|
20 |
20 |
$539.41 |
| 87428 |
|
79 |
77 |
$220.47 |
| 0011A |
|
13 |
12 |
$186.34 |
| 81003 |
|
122 |
117 |
$54.81 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
351 |
333 |
$41.25 |
| 90686 |
|
1,271 |
1,242 |
$36.90 |
| 90715 |
|
176 |
171 |
$30.00 |
| 81025 |
|
12 |
12 |
$28.92 |
| 0001A |
|
13 |
13 |
$16.94 |
| 90474 |
|
97 |
95 |
$7.84 |
| 90696 |
|
119 |
116 |
$0.00 |
| 91301 |
|
26 |
25 |
$0.00 |
| 90733 |
|
118 |
114 |
$0.00 |
| 90723 |
|
437 |
428 |
$0.00 |
| 90651 |
|
485 |
474 |
$0.00 |
| 90716 |
|
54 |
53 |
$0.00 |
| 90698 |
|
48 |
47 |
$0.00 |
| 90647 |
|
23 |
19 |
$0.00 |
| 99441 |
|
29 |
29 |
$0.00 |
| 90744 |
|
15 |
15 |
$0.00 |
| 90681 |
|
276 |
271 |
$0.00 |
| 90710 |
|
219 |
211 |
$0.00 |
| 90670 |
|
888 |
864 |
$0.00 |
| 90633 |
|
473 |
459 |
$0.00 |
| 90648 |
|
592 |
580 |
$0.00 |
| 90734 |
|
247 |
239 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
232 |
113 |
$0.00 |
| 90700 |
|
39 |
38 |
$0.00 |
| 91300 |
|
39 |
39 |
$0.00 |
| 90707 |
|
39 |
39 |
$0.00 |