| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,624 |
6,015 |
$1.15M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,171 |
3,465 |
$116K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
168 |
162 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
138 |
124 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
120 |
106 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
113 |
105 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
83 |
64 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
51 |
49 |
$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 |
25 |
24 |
$914.25 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
124 |
119 |
$165.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
902 |
791 |
$148.39 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
625 |
588 |
$47.21 |
| 92552 |
|
57 |
57 |
$24.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
982 |
903 |
$13.89 |
| 99173 |
|
462 |
453 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27 |
27 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
694 |
642 |
$0.00 |
| 90461 |
|
344 |
307 |
$0.00 |
| 90672 |
|
18 |
16 |
$0.00 |
| 92551 |
|
291 |
278 |
$0.00 |
| 3008F |
|
811 |
730 |
$0.00 |
| 90686 |
|
308 |
266 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$0.00 |
| 90656 |
|
28 |
28 |
$0.00 |