| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
23,545 |
16,808 |
$3.42M |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,169 |
896 |
$109K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
615 |
482 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
378 |
349 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,708 |
10,157 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
695 |
595 |
$8K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
519 |
441 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
288 |
265 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
260 |
168 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,458 |
4,733 |
$3K |
| 90686 |
|
352 |
339 |
$3K |
| 90670 |
|
307 |
228 |
$2K |
| 90698 |
|
293 |
219 |
$1K |
| 90685 |
|
207 |
162 |
$968.00 |
| 90633 |
|
192 |
147 |
$768.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
342 |
247 |
$636.62 |
| 90649 |
|
149 |
113 |
$608.00 |
| 87430 |
|
100 |
48 |
$560.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
280 |
214 |
$286.26 |
| 87807 |
|
19 |
18 |
$198.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
142 |
129 |
$192.93 |
| 90710 |
|
13 |
13 |
$104.00 |
| 82947 |
|
20 |
12 |
$40.00 |
| 99215 |
Prolong outpt/office vis |
26 |
13 |
$0.00 |
| 90756 |
|
22 |
18 |
$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 |
28 |
12 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
54 |
24 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$0.00 |
| 3078F |
|
159 |
121 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
27 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
24 |
15 |
$0.00 |
| 3074F |
|
164 |
124 |
$0.00 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
39 |
12 |
$0.00 |