| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
64,976 |
52,827 |
$17.71M |
| 0520 |
|
3,541 |
2,974 |
$69K |
| 0011A |
|
46 |
46 |
$3K |
| 0012A |
|
40 |
40 |
$3K |
| 0521 |
|
103,302 |
43,192 |
$1K |
| 90480 |
|
253 |
247 |
$920.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,965 |
18,528 |
$401.76 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,702 |
4,356 |
$187.50 |
| 90791 |
Psychiatric diagnostic evaluation |
186 |
184 |
$128.08 |
| G9920 |
Screening performed and negative |
2,377 |
2,353 |
$58.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
15 |
$57.20 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,339 |
871 |
$47.58 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,224 |
1,142 |
$34.69 |
| 87428 |
|
1,658 |
1,141 |
$15.00 |
| 90686 |
|
2,262 |
1,973 |
$9.00 |
| 90633 |
|
501 |
421 |
$9.00 |
| 85018 |
|
4,297 |
3,637 |
$2.05 |
| Z6406 |
|
62 |
62 |
$0.00 |
| 90723 |
|
744 |
567 |
$0.00 |
| 0771 |
|
755 |
575 |
$0.00 |
| Z1034 |
|
2,652 |
1,780 |
$0.00 |
| 0636 |
|
11,353 |
6,165 |
$0.00 |
| 82962 |
|
2,181 |
1,533 |
$0.00 |
| 90680 |
|
571 |
408 |
$0.00 |
| 90656 |
|
275 |
248 |
$0.00 |
| 92551 |
|
2,805 |
2,790 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,238 |
1,668 |
$0.00 |
| Z1032 |
|
55 |
55 |
$0.00 |
| 90647 |
|
670 |
517 |
$0.00 |
| 90677 |
|
489 |
335 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
127 |
104 |
$0.00 |
| 99000 |
|
286 |
280 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
321 |
320 |
$0.00 |
| 0250 |
|
272 |
229 |
$0.00 |
| 0305 |
|
130 |
129 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
256 |
256 |
$0.00 |
| 90651 |
|
395 |
362 |
$0.00 |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
65 |
62 |
$0.00 |
| 90696 |
|
36 |
26 |
$0.00 |
| 0270 |
|
115 |
108 |
$0.00 |
| 0306 |
|
90 |
78 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
139 |
138 |
$0.00 |
| Z6204 |
|
168 |
167 |
$0.00 |
| Z6402 |
|
129 |
129 |
$0.00 |
| 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 |
12 |
12 |
$0.00 |
| 0301 |
|
61 |
55 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
30 |
30 |
$0.00 |
| 86580 |
|
13 |
13 |
$0.00 |
| 90716 |
|
19 |
18 |
$0.00 |
| 90688 |
|
16 |
16 |
$0.00 |
| 0500 |
|
4,616 |
2,378 |
$0.00 |
| 90670 |
|
574 |
487 |
$0.00 |
| 0470 |
|
515 |
513 |
$0.00 |
| 0300 |
|
12,946 |
9,995 |
$0.00 |
| 99173 |
|
2,724 |
2,714 |
$0.00 |
| Z6300 |
|
88 |
88 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
653 |
650 |
$0.00 |
| 90734 |
|
255 |
228 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,255 |
1,232 |
$0.00 |
| Z6200 |
|
185 |
185 |
$0.00 |
| 0929 |
|
2,938 |
2,936 |
$0.00 |
| 82274 |
|
15 |
12 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,402 |
1,394 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
352 |
350 |
$0.00 |
| Z6202 |
|
36 |
36 |
$0.00 |
| Z6400 |
|
168 |
168 |
$0.00 |
| 99442 |
|
291 |
242 |
$0.00 |
| 91320 |
|
31 |
30 |
$0.00 |
| 81025 |
|
129 |
113 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,156 |
1,043 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
53 |
27 |
$0.00 |
| A4267 |
Contraceptive supply, condom, male, each |
123 |
117 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
296 |
265 |
$0.00 |
| 0900 |
|
196 |
80 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
114 |
113 |
$0.00 |
| 90715 |
|
131 |
122 |
$0.00 |
| Z6304 |
|
24 |
24 |
$0.00 |
| Z6208 |
|
76 |
67 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
25 |
25 |
$0.00 |
| 90710 |
|
109 |
92 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |
| 81003 |
|
26 |
14 |
$0.00 |