| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,407 |
10,547 |
$694K |
| T1015 |
Clinic visit/encounter, all-inclusive |
13,926 |
10,657 |
$140K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,034 |
679 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
441 |
345 |
$28K |
| 90834 |
Psychotherapy, 45 minutes with patient |
500 |
344 |
$25K |
| 87428 |
|
239 |
191 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
31 |
29 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
240 |
181 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
154 |
123 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
13 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
33 |
27 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
50 |
46 |
$671.08 |
| 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 |
29 |
13 |
$378.24 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
20 |
12 |
$375.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
12 |
$293.21 |
| 90686 |
|
46 |
35 |
$132.63 |