| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
25,957 |
22,396 |
$2.21M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,512 |
8,908 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,341 |
3,605 |
$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 |
80 |
72 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,872 |
1,558 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
663 |
600 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
109 |
99 |
$2K |
| 0011A |
|
49 |
49 |
$1K |
| 90746 |
|
59 |
52 |
$1K |
| 0012A |
|
17 |
17 |
$737.00 |
| 90715 |
|
51 |
41 |
$699.32 |
| 0031A |
|
15 |
15 |
$670.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
65 |
62 |
$585.50 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
197 |
179 |
$566.95 |
| 90791 |
Psychiatric diagnostic evaluation |
903 |
782 |
$560.09 |
| 90750 |
|
16 |
12 |
$493.52 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,890 |
1,369 |
$352.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
772 |
705 |
$162.48 |
| 90686 |
|
117 |
107 |
$157.41 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
19 |
16 |
$24.84 |
| 99000 |
|
425 |
356 |
$23.58 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
243 |
233 |
$15.30 |
| 3074F |
|
437 |
415 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
60 |
54 |
$0.00 |
| 3079F |
|
106 |
104 |
$0.00 |
| 93000 |
|
19 |
12 |
$0.00 |
| 91301 |
|
22 |
21 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
31 |
30 |
$0.00 |
| 3078F |
|
252 |
241 |
$0.00 |
| 81002 |
|
33 |
25 |
$0.00 |
| 90707 |
|
13 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
13 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$0.00 |