| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
22,752 |
19,372 |
$1.59M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,560 |
7,180 |
$390K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,204 |
6,490 |
$240K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,285 |
5,624 |
$159K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,037 |
1,187 |
$61K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,813 |
1,019 |
$52K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,037 |
588 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
798 |
489 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,680 |
1,075 |
$21K |
| 92551 |
|
4,612 |
2,560 |
$15K |
| 90686 |
|
5,860 |
3,624 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
347 |
204 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,482 |
934 |
$11K |
| 90832 |
Psychotherapy, 30 minutes with patient |
437 |
167 |
$10K |
| 99215 |
Prolong outpt/office vis |
203 |
117 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,894 |
1,118 |
$7K |
| 90837 |
Psychotherapy, 53 minutes with patient |
146 |
54 |
$6K |
| 99173 |
|
5,062 |
2,872 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
2,356 |
1,540 |
$4K |
| 90715 |
|
250 |
162 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
169 |
110 |
$3K |
| 99441 |
|
380 |
212 |
$2K |
| 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 |
202 |
173 |
$2K |
| Q3014 |
Telehealth originating site facility fee |
153 |
83 |
$2K |
| 99442 |
|
122 |
68 |
$1K |
| 82962 |
|
1,200 |
661 |
$1K |
| 90620 |
|
37 |
34 |
$856.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
12 |
12 |
$803.01 |
| 90632 |
|
26 |
14 |
$672.98 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
21 |
12 |
$655.59 |
| 99188 |
|
83 |
54 |
$483.41 |
| 90651 |
|
283 |
160 |
$416.78 |
| 99443 |
|
29 |
15 |
$395.83 |
| 85018 |
|
298 |
188 |
$318.79 |
| 90670 |
|
686 |
428 |
$226.10 |
| 90619 |
|
18 |
12 |
$150.53 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
19 |
12 |
$86.80 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
22 |
13 |
$85.50 |
| 81002 |
|
44 |
28 |
$65.09 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
150 |
77 |
$43.41 |
| 3074F |
|
3,616 |
1,914 |
$1.58 |
| 3078F |
|
2,554 |
1,343 |
$1.31 |
| 3079F |
|
2,093 |
1,130 |
$1.21 |
| 3077F |
|
539 |
299 |
$0.84 |
| 3075F |
|
934 |
512 |
$0.57 |
| 3008F |
|
2,292 |
1,264 |
$0.46 |
| 3080F |
|
421 |
239 |
$0.45 |
| 3044F |
|
181 |
96 |
$0.26 |
| 90647 |
|
277 |
186 |
$0.00 |
| 90674 |
|
63 |
32 |
$0.00 |
| 90723 |
|
350 |
221 |
$0.00 |
| 90677 |
|
34 |
33 |
$0.00 |
| 90688 |
|
27 |
16 |
$0.00 |
| 90697 |
|
19 |
19 |
$0.00 |
| 90633 |
|
276 |
179 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
891 |
823 |
$0.00 |
| 90710 |
|
125 |
70 |
$0.00 |
| 90685 |
|
200 |
139 |
$0.00 |
| 90734 |
|
66 |
38 |
$0.00 |