| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
41,089 |
35,387 |
$7.44M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,669 |
21,252 |
$271K |
| 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 |
2,072 |
1,585 |
$255K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,403 |
8,676 |
$144K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,868 |
1,658 |
$39K |
| 92081 |
|
542 |
542 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,268 |
2,039 |
$17K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,582 |
1,346 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,229 |
2,842 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
432 |
365 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
577 |
460 |
$11K |
| 92552 |
|
1,068 |
1,067 |
$10K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
373 |
365 |
$9K |
| 99215 |
Prolong outpt/office vis |
219 |
213 |
$5K |
| 85018 |
|
2,912 |
2,902 |
$5K |
| 90837 |
Psychotherapy, 53 minutes with patient |
691 |
363 |
$2K |
| 90686 |
|
921 |
801 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$1K |
| 90677 |
|
81 |
81 |
$895.50 |
| 90670 |
|
512 |
383 |
$842.68 |
| 90832 |
Psychotherapy, 30 minutes with patient |
15 |
15 |
$693.90 |
| 90697 |
|
163 |
120 |
$639.00 |
| 82948 |
|
542 |
491 |
$618.61 |
| 90710 |
|
224 |
194 |
$423.00 |
| 90633 |
|
169 |
150 |
$364.50 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
66 |
66 |
$340.49 |
| 90680 |
|
140 |
90 |
$274.50 |
| 81002 |
|
41 |
38 |
$82.80 |
| 87420 |
|
37 |
37 |
$49.64 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
162 |
159 |
$0.00 |
| 90672 |
|
159 |
159 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
191 |
189 |
$0.00 |
| 3078F |
|
1,986 |
1,804 |
$0.00 |
| 3077F |
|
42 |
39 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
38 |
38 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
29 |
28 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
54 |
54 |
$0.00 |
| 3074F |
|
2,244 |
2,014 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 3075F |
|
107 |
106 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$0.00 |
| 90698 |
|
32 |
25 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
85 |
62 |
$0.00 |
| 90657 |
|
65 |
64 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$0.00 |
| 3080F |
|
41 |
37 |
$0.00 |
| 90656 |
|
25 |
25 |
$0.00 |