| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
19,760 |
13,272 |
$1.59M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,135 |
9,932 |
$412K |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,759 |
2,446 |
$97K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,684 |
1,648 |
$82K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,617 |
2,448 |
$78K |
| 90791 |
Psychiatric diagnostic evaluation |
1,010 |
559 |
$46K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,151 |
617 |
$32K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,060 |
507 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
466 |
269 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
280 |
168 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
263 |
139 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
214 |
121 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
401 |
245 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
75 |
73 |
$2K |
| 80305 |
|
491 |
249 |
$2K |
| 0012A |
|
54 |
51 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
123 |
63 |
$2K |
| 99215 |
Prolong outpt/office vis |
32 |
16 |
$1K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
53 |
24 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
84 |
63 |
$1K |
| 0011A |
|
49 |
44 |
$971.22 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
157 |
85 |
$949.09 |
| 99385 |
|
24 |
12 |
$816.37 |
| 92551 |
|
118 |
116 |
$730.02 |
| 99201 |
|
59 |
30 |
$640.57 |
| 90661 |
|
72 |
72 |
$584.19 |
| 90670 |
|
375 |
228 |
$583.36 |
| 82962 |
|
421 |
240 |
$538.92 |
| 90686 |
|
265 |
173 |
$446.84 |
| 90658 |
|
70 |
42 |
$408.95 |
| 90674 |
|
138 |
74 |
$400.27 |
| 99173 |
|
213 |
170 |
$355.03 |
| 90651 |
|
99 |
53 |
$270.79 |
| 90715 |
|
25 |
13 |
$108.54 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
23 |
20 |
$89.34 |
| 81002 |
|
79 |
41 |
$71.20 |
| 96127 |
|
17 |
15 |
$59.05 |
| 90685 |
|
24 |
15 |
$43.30 |
| 90656 |
|
124 |
83 |
$40.56 |
| 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 |
13 |
13 |
$31.20 |
| 81003 |
|
34 |
13 |
$20.33 |
| 91301 |
|
91 |
78 |
$0.42 |
| 90633 |
|
269 |
146 |
$0.39 |
| 90734 |
|
127 |
70 |
$0.35 |
| 90620 |
|
42 |
24 |
$0.17 |
| 90710 |
|
40 |
26 |
$0.12 |
| 90647 |
|
121 |
80 |
$0.05 |
| 90687 |
|
168 |
112 |
$0.04 |
| 90723 |
|
61 |
39 |
$0.03 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
14,424 |
7,877 |
$0.00 |
| 3074F |
|
12,323 |
6,998 |
$0.00 |
| 3075F |
|
1,835 |
1,097 |
$0.00 |
| 2001F |
|
16,802 |
9,256 |
$0.00 |
| 1036F |
|
9,883 |
5,917 |
$0.00 |
| 3008F |
|
16,773 |
9,254 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
746 |
408 |
$0.00 |
| 3080F |
|
472 |
272 |
$0.00 |
| 3079F |
|
3,917 |
2,257 |
$0.00 |
| 90657 |
|
30 |
18 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
28 |
28 |
$0.00 |
| 3078F |
|
11,136 |
6,419 |
$0.00 |
| 4004F |
|
530 |
278 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
13,954 |
7,600 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
1,253 |
741 |
$0.00 |
| 3077F |
|
1,357 |
837 |
$0.00 |
| 1159F |
|
93 |
41 |
$0.00 |