| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
28,797 |
24,670 |
$4.55M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,873 |
21,519 |
$114K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,108 |
9,331 |
$53K |
| 59425 |
|
552 |
352 |
$43K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
731 |
731 |
$37K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
526 |
525 |
$24K |
| 90686 |
|
2,403 |
2,401 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
704 |
704 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
588 |
587 |
$21K |
| 92551 |
|
2,730 |
2,724 |
$15K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
114 |
75 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
125 |
125 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
208 |
203 |
$8K |
| 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 |
2,723 |
2,297 |
$8K |
| 90677 |
|
114 |
114 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
116 |
116 |
$6K |
| 0969 |
|
75 |
58 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,986 |
2,831 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
72 |
72 |
$5K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
158 |
150 |
$5K |
| 0064A |
|
83 |
59 |
$4K |
| 90715 |
|
161 |
161 |
$4K |
| 90651 |
|
257 |
257 |
$4K |
| 0001A |
|
58 |
30 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,536 |
1,515 |
$3K |
| 0072A |
|
52 |
27 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
91 |
89 |
$3K |
| 0071A |
|
46 |
32 |
$2K |
| 92250 |
|
37 |
37 |
$2K |
| 0002A |
|
27 |
14 |
$1K |
| 81025 |
|
475 |
462 |
$1K |
| 0003A |
|
21 |
12 |
$1K |
| 99406 |
|
93 |
87 |
$1K |
| 90670 |
|
112 |
112 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
136 |
136 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
109 |
109 |
$791.28 |
| 81002 |
|
2,057 |
1,819 |
$566.98 |
| 99173 |
|
1,389 |
1,386 |
$535.44 |
| 90734 |
|
56 |
56 |
$528.75 |
| 90698 |
|
36 |
36 |
$324.00 |
| 82274 |
|
13 |
13 |
$284.18 |
| 71046 |
Radiologic examination, chest; 2 views |
14 |
14 |
$283.92 |
| 99188 |
|
12 |
12 |
$259.20 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
526 |
508 |
$229.82 |
| 90697 |
|
25 |
25 |
$225.00 |
| 90671 |
|
12 |
12 |
$108.00 |
| 96127 |
|
38 |
38 |
$103.86 |
| 85018 |
|
40 |
40 |
$51.72 |
| Z1034 |
|
484 |
324 |
$0.00 |
| 90656 |
|
105 |
104 |
$0.00 |