| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
30,505 |
23,694 |
$4.24M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,822 |
13,679 |
$667K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,513 |
4,039 |
$240K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,731 |
1,152 |
$180K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,827 |
2,644 |
$63K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,043 |
968 |
$59K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
791 |
760 |
$59K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
600 |
594 |
$49K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
756 |
713 |
$40K |
| 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 |
1,304 |
1,160 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
425 |
421 |
$33K |
| D0999 |
Unspecified diagnostic procedure, by report |
214 |
181 |
$33K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
275 |
263 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,471 |
2,297 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,279 |
1,210 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,003 |
1,881 |
$11K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
43 |
43 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
28 |
$1K |
| 87807 |
|
120 |
112 |
$902.00 |
| 81003 |
|
665 |
613 |
$542.21 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,771 |
1,715 |
$478.11 |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
27 |
27 |
$477.49 |
| 81025 |
|
285 |
251 |
$306.00 |
| 90715 |
|
122 |
116 |
$204.57 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
113 |
108 |
$138.72 |
| 0012A |
|
57 |
57 |
$118.39 |
| 90686 |
|
82 |
81 |
$115.57 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
350 |
322 |
$86.30 |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
14 |
13 |
$64.44 |
| D1206 |
Topical application of fluoride varnish |
93 |
89 |
$49.23 |
| 90658 |
|
157 |
149 |
$36.90 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
24 |
24 |
$27.12 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
380 |
366 |
$26.35 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
26 |
$26.21 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
26 |
24 |
$3.85 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
330 |
324 |
$0.38 |
| 90461 |
|
820 |
797 |
$0.21 |
| 90619 |
|
34 |
34 |
$0.20 |
| 36415 |
Collection of venous blood by venipuncture |
661 |
628 |
$0.00 |
| 90696 |
|
18 |
17 |
$0.00 |
| 0011A |
|
58 |
56 |
$0.00 |
| 82962 |
|
297 |
258 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
12 |
$0.00 |
| 90723 |
|
15 |
15 |
$0.00 |
| 90656 |
|
44 |
43 |
$0.00 |
| 90677 |
|
56 |
56 |
$0.00 |
| 90651 |
|
40 |
37 |
$0.00 |
| 0031A |
|
12 |
12 |
$0.00 |
| 91301 |
|
15 |
13 |
$0.00 |
| D1120 |
Prophylaxis - child |
15 |
13 |
$0.00 |
| 90670 |
|
105 |
104 |
$0.00 |
| 90633 |
|
39 |
38 |
$0.00 |
| 90734 |
|
56 |
56 |
$0.00 |
| 90710 |
|
62 |
61 |
$0.00 |
| 90648 |
|
30 |
30 |
$0.00 |