| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
23,950 |
19,064 |
$2.48M |
| 99199 |
Unlisted special service, procedure or report |
140,103 |
68,690 |
$704K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
637 |
529 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
480 |
387 |
$34K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,931 |
2,346 |
$32K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
438 |
383 |
$30K |
| 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 |
3,025 |
2,522 |
$25K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
774 |
673 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
209 |
183 |
$14K |
| 36415 |
Collection of venous blood by venipuncture |
7,690 |
6,309 |
$14K |
| 90837 |
Psychotherapy, 53 minutes with patient |
945 |
316 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
308 |
268 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
645 |
577 |
$5K |
| 0012A |
|
99 |
75 |
$5K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
37 |
29 |
$4K |
| 0011A |
|
111 |
81 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
303 |
287 |
$4K |
| 87428 |
|
122 |
76 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
61 |
39 |
$2K |
| 96127 |
|
688 |
559 |
$2K |
| D0145 |
Oral evaluation for a patient under three years of age |
65 |
65 |
$2K |
| 81003 |
|
632 |
526 |
$1K |
| D1206 |
Topical application of fluoride varnish |
65 |
65 |
$976.00 |
| 92551 |
|
1,874 |
1,550 |
$489.64 |
| 90473 |
|
33 |
32 |
$425.01 |
| 99401 |
|
17 |
15 |
$362.67 |
| 90474 |
|
27 |
26 |
$356.46 |
| 85018 |
|
244 |
205 |
$302.62 |
| 99173 |
|
2,030 |
1,682 |
$288.94 |
| 90686 |
|
810 |
644 |
$253.26 |
| 90656 |
|
79 |
76 |
$157.48 |
| 90734 |
|
81 |
73 |
$125.20 |
| 81025 |
|
19 |
12 |
$96.48 |
| 90658 |
|
63 |
59 |
$25.38 |
| 3078F |
|
55 |
50 |
$0.04 |
| 3044F |
|
14 |
12 |
$0.01 |
| 3074F |
|
14 |
13 |
$0.01 |
| 90710 |
|
48 |
44 |
$0.00 |
| 90670 |
|
160 |
132 |
$0.00 |
| 90633 |
|
75 |
71 |
$0.00 |
| 90672 |
|
35 |
34 |
$0.00 |
| 90715 |
|
16 |
14 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
114 |
108 |
$0.00 |
| 90700 |
|
19 |
17 |
$0.00 |
| 90674 |
|
50 |
42 |
$0.00 |
| 91301 |
|
213 |
162 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
78 |
75 |
$0.00 |
| 99000 |
|
13 |
13 |
$0.00 |
| 87081 |
|
12 |
12 |
$0.00 |
| 90647 |
|
17 |
12 |
$0.00 |
| 99406 |
|
45 |
38 |
$0.00 |
| 90680 |
|
27 |
26 |
$0.00 |
| 90651 |
|
47 |
31 |
$0.00 |
| 90688 |
|
31 |
21 |
$0.00 |