| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
30,734 |
23,074 |
$4.18M |
| 99199 |
Unlisted special service, procedure or report |
81,872 |
41,799 |
$471K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,059 |
1,718 |
$74K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,567 |
1,347 |
$53K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,882 |
1,280 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
144 |
125 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
378 |
341 |
$25K |
| 87430 |
|
1,354 |
1,178 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
112 |
97 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,528 |
1,298 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
106 |
97 |
$7K |
| 96127 |
|
2,781 |
2,247 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
325 |
269 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
705 |
558 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
174 |
111 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
453 |
340 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$2K |
| 97802 |
|
207 |
177 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
289 |
267 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
20 |
13 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
16 |
12 |
$1K |
| 80305 |
|
167 |
97 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
77 |
64 |
$820.96 |
| 81003 |
|
346 |
289 |
$817.77 |
| 0011A |
|
50 |
32 |
$716.62 |
| 80061 |
Lipid panel |
208 |
170 |
$474.22 |
| 90791 |
Psychiatric diagnostic evaluation |
19 |
12 |
$461.19 |
| 90619 |
|
86 |
78 |
$298.42 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
38 |
25 |
$260.20 |
| 90686 |
|
139 |
116 |
$195.52 |
| 90734 |
|
121 |
79 |
$162.58 |
| 90656 |
|
167 |
160 |
$153.81 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
14 |
12 |
$91.41 |
| 92551 |
|
405 |
391 |
$57.89 |
| G0306 |
Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count |
456 |
351 |
$23.92 |
| 99173 |
|
431 |
417 |
$12.00 |
| 90661 |
|
70 |
64 |
$11.00 |
| 90715 |
|
104 |
70 |
$0.00 |
| 98960 |
|
16 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
14 |
12 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
393 |
354 |
$0.00 |
| 2010F |
|
151 |
132 |
$0.00 |
| 1036F |
|
70 |
57 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
36 |
32 |
$0.00 |
| 90688 |
|
37 |
28 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
42 |
37 |
$0.00 |
| 91301 |
|
73 |
63 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |