| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
60,260 |
52,347 |
$13.76M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,508 |
2,117 |
$73K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,174 |
1,105 |
$69K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
524 |
522 |
$47K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
546 |
532 |
$43K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,141 |
1,131 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
227 |
227 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
103 |
103 |
$9K |
| 76801 |
|
90 |
90 |
$9K |
| 99460 |
|
72 |
69 |
$6K |
| 90832 |
Psychotherapy, 30 minutes with patient |
156 |
131 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
69 |
67 |
$4K |
| 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 |
89 |
83 |
$3K |
| 0013A |
|
54 |
54 |
$2K |
| 0012A |
|
48 |
48 |
$2K |
| 0011A |
|
55 |
55 |
$2K |
| 99188 |
|
94 |
94 |
$974.78 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
18 |
$889.92 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
42 |
$617.40 |
| 96161 |
|
49 |
46 |
$235.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$116.61 |
| D0120 |
Periodic oral evaluation - established patient |
129 |
129 |
$0.00 |
| 90723 |
|
265 |
264 |
$0.00 |
| 90677 |
|
280 |
279 |
$0.00 |
| 90656 |
|
180 |
180 |
$0.00 |
| 90647 |
|
289 |
285 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
25 |
25 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$0.00 |
| D1110 |
Prophylaxis - adult |
242 |
242 |
$0.00 |
| 90670 |
|
37 |
37 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90681 |
|
67 |
67 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$0.00 |