| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
14,728 |
10,918 |
$2.03M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,321 |
7,262 |
$311K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,895 |
2,550 |
$105K |
| 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 |
2,881 |
2,409 |
$78K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,345 |
949 |
$75K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,749 |
1,554 |
$72K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
644 |
526 |
$38K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
286 |
270 |
$16K |
| 90834 |
Psychotherapy, 45 minutes with patient |
205 |
168 |
$14K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
101 |
100 |
$14K |
| 90837 |
Psychotherapy, 53 minutes with patient |
128 |
91 |
$11K |
| 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 |
787 |
787 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
599 |
546 |
$6K |
| CP004 |
|
523 |
404 |
$5K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
71 |
63 |
$4K |
| 80053 |
Comprehensive metabolic panel |
1,645 |
1,602 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
821 |
790 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
55 |
54 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,351 |
1,301 |
$3K |
| 80061 |
Lipid panel |
1,230 |
1,202 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,639 |
1,589 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
901 |
824 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
465 |
430 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
464 |
430 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
154 |
148 |
$2K |
| 81025 |
|
1,049 |
991 |
$789.76 |
| 92552 |
|
543 |
517 |
$737.57 |
| 90674 |
|
81 |
81 |
$624.38 |
| 81002 |
|
772 |
708 |
$605.65 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
59 |
57 |
$364.14 |
| 90686 |
|
40 |
40 |
$328.46 |
| 87510 |
|
284 |
272 |
$312.52 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
13 |
12 |
$235.84 |
| S4993 |
Contraceptive pills for birth control |
25 |
25 |
$163.10 |
| 87660 |
|
284 |
272 |
$151.56 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
72 |
70 |
$147.40 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
42 |
37 |
$128.82 |
| 82043 |
|
117 |
115 |
$126.36 |
| 87480 |
|
284 |
272 |
$121.64 |
| 82570 |
|
129 |
127 |
$117.45 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
72 |
70 |
$111.75 |
| 84439 |
|
31 |
30 |
$107.56 |
| 85018 |
|
341 |
316 |
$87.55 |
| 3074F |
|
776 |
652 |
$0.00 |
| 3079F |
|
262 |
230 |
$0.00 |
| 3008F |
|
73 |
65 |
$0.00 |
| 3075F |
|
14 |
13 |
$0.00 |
| 90619 |
|
18 |
18 |
$0.00 |
| 99173 |
|
865 |
832 |
$0.00 |
| 3077F |
|
105 |
90 |
$0.00 |
| 3046F |
|
12 |
12 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
276 |
273 |
$0.00 |
| 3078F |
|
769 |
648 |
$0.00 |
| 90621 |
|
12 |
12 |
$0.00 |