| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
9,962 |
8,493 |
$1.06M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,659 |
4,916 |
$72K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,190 |
2,010 |
$65K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
465 |
422 |
$18K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
597 |
533 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
793 |
683 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
111 |
81 |
$3K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
67 |
61 |
$2K |
| 90686 |
|
67 |
67 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
48 |
47 |
$1K |
| 81003 |
|
62 |
61 |
$968.78 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
29 |
27 |
$822.41 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
15 |
15 |
$674.24 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
93 |
86 |
$542.53 |
| 87428 |
|
53 |
45 |
$431.65 |
| 90674 |
|
17 |
17 |
$368.48 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
15 |
12 |
$253.52 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$59.38 |
| 96127 |
|
126 |
96 |
$58.61 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
14 |
14 |
$2.51 |
| 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 |
275 |
254 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
32 |
32 |
$0.00 |
| 99384 |
|
14 |
14 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
30 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
20 |
20 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
22 |
19 |
$0.00 |
| 90734 |
|
19 |
19 |
$0.00 |
| 90461 |
|
16 |
16 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
65 |
65 |
$0.00 |
| 99442 |
|
40 |
40 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$0.00 |
| 90715 |
|
16 |
16 |
$0.00 |