| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
36,067 |
30,601 |
$7.79M |
| 90674 |
|
1,109 |
767 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,717 |
15,909 |
$11K |
| 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 |
218 |
201 |
$7K |
| 0011A |
|
143 |
103 |
$7K |
| 0012A |
|
120 |
89 |
$6K |
| 90715 |
|
459 |
272 |
$5K |
| 93000 |
|
406 |
278 |
$5K |
| 90686 |
|
1,072 |
842 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
772 |
454 |
$4K |
| G9920 |
Screening performed and negative |
1,928 |
1,253 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,879 |
1,979 |
$3K |
| 0134A |
|
71 |
69 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,469 |
3,326 |
$3K |
| 90746 |
|
61 |
40 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,449 |
756 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,688 |
4,745 |
$890.76 |
| 3725F |
|
3,097 |
1,882 |
$882.69 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
544 |
333 |
$837.34 |
| 3078F |
|
1,790 |
1,040 |
$628.62 |
| 90651 |
|
22 |
15 |
$538.30 |
| 0064A |
|
21 |
16 |
$536.00 |
| 85018 |
|
1,336 |
1,043 |
$387.91 |
| 90661 |
|
248 |
172 |
$374.31 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,785 |
1,145 |
$327.30 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
326 |
190 |
$300.98 |
| 92551 |
|
662 |
660 |
$294.08 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
283 |
158 |
$235.65 |
| 1000F |
|
2,579 |
1,536 |
$229.81 |
| 80061 |
Lipid panel |
272 |
180 |
$216.28 |
| 82962 |
|
198 |
170 |
$216.16 |
| 3079F |
|
351 |
200 |
$210.58 |
| 86580 |
|
40 |
26 |
$206.80 |
| 90707 |
|
17 |
13 |
$122.25 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
38 |
26 |
$106.90 |
| 3074F |
|
1,735 |
1,006 |
$100.03 |
| 90756 |
|
23 |
23 |
$96.85 |
| G9919 |
Screening performed and positive and provision of recommendations |
95 |
57 |
$87.00 |
| 99215 |
Prolong outpt/office vis |
370 |
203 |
$85.90 |
| 82274 |
|
159 |
134 |
$76.84 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$68.21 |
| 99173 |
|
668 |
666 |
$62.08 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
201 |
139 |
$57.20 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
273 |
273 |
$42.83 |
| 3351F |
|
2,446 |
1,481 |
$36.51 |
| 90713 |
|
19 |
12 |
$36.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
796 |
466 |
$28.70 |
| 3077F |
|
121 |
63 |
$28.51 |
| 90836 |
|
74 |
67 |
$24.60 |
| 3075F |
|
304 |
175 |
$24.00 |
| 86803 |
|
233 |
233 |
$11.31 |
| 81000 |
|
60 |
36 |
$5.13 |
| 86706 |
|
75 |
75 |
$0.00 |
| TELEH |
Telehealth inpt pharm mgmt |
1,457 |
1,331 |
$0.00 |
| TELEP |
Rn telephone calls to dmp |
4,937 |
4,522 |
$0.00 |
| 90785 |
|
117 |
70 |
$0.00 |
| 96160 |
|
57 |
56 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
24 |
13 |
$0.00 |
| 69210 |
|
46 |
39 |
$0.00 |
| SHA |
Doc share dec prior proc |
37 |
37 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
38 |
38 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
19 |
12 |
$0.00 |
| 81025 |
|
22 |
12 |
$0.00 |