| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
32,001 |
27,774 |
$6.10M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,496 |
13,035 |
$100K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,419 |
7,791 |
$82K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
1,016 |
907 |
$42K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
705 |
679 |
$19K |
| 90686 |
|
500 |
494 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,040 |
934 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,885 |
1,773 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,098 |
1,001 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,269 |
1,236 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
196 |
185 |
$7K |
| 90670 |
|
583 |
568 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
238 |
233 |
$6K |
| 90680 |
|
206 |
202 |
$4K |
| 90648 |
|
198 |
195 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
167 |
157 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
72 |
70 |
$2K |
| T1016 |
Case management, each 15 minutes |
77 |
61 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
109 |
103 |
$774.70 |
| 96127 |
|
2,154 |
1,709 |
$662.77 |
| 90723 |
|
37 |
36 |
$223.41 |
| 90837 |
Psychotherapy, 53 minutes with patient |
437 |
294 |
$219.52 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
348 |
337 |
$23.65 |
| 90674 |
|
49 |
48 |
$4.34 |
| 3078F |
|
1,213 |
1,130 |
$0.00 |
| 90710 |
|
65 |
65 |
$0.00 |
| 90633 |
|
126 |
122 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
54 |
52 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
35 |
31 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
36 |
35 |
$0.00 |
| 90756 |
|
83 |
76 |
$0.00 |
| 90734 |
|
24 |
24 |
$0.00 |
| 90681 |
|
14 |
14 |
$0.00 |
| 99408 |
|
28 |
19 |
$0.00 |
| H0031 |
Mental health assessment, by non-physician |
16 |
16 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$0.00 |
| 87428 |
|
397 |
375 |
$0.00 |
| 3079F |
|
342 |
327 |
$0.00 |
| 3074F |
|
1,618 |
1,512 |
$0.00 |
| 3075F |
|
147 |
137 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
59 |
54 |
$0.00 |
| 90677 |
|
93 |
91 |
$0.00 |
| 1126F |
|
55 |
55 |
$0.00 |
| 90688 |
|
73 |
73 |
$0.00 |
| 99384 |
|
15 |
14 |
$0.00 |
| 90696 |
|
18 |
18 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
36 |
18 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
22 |
21 |
$0.00 |