| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
10,262 |
9,219 |
$698K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,454 |
4,141 |
$369K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,507 |
5,070 |
$358K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
364 |
352 |
$52K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
326 |
322 |
$29K |
| 99050 |
|
2,076 |
1,975 |
$24K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
605 |
342 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
87 |
87 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
88 |
87 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
302 |
298 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
53 |
53 |
$4K |
| 97802 |
|
97 |
97 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
136 |
134 |
$2K |
| 82947 |
|
299 |
286 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
371 |
363 |
$913.74 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
72 |
72 |
$760.34 |
| 90461 |
|
29 |
29 |
$567.45 |
| 81001 |
|
96 |
95 |
$321.80 |
| 85018 |
|
49 |
49 |
$116.05 |
| 81025 |
|
13 |
12 |
$87.36 |
| 91301 |
|
14 |
14 |
$0.14 |
| 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 |
4,503 |
4,464 |
$0.00 |
| 3078F |
|
12 |
12 |
$0.00 |
| 3074F |
|
12 |
12 |
$0.00 |