| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
36,987 |
27,333 |
$4.17M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,200 |
9,096 |
$528K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,950 |
9,450 |
$484K |
| D0999 |
Unspecified diagnostic procedure, by report |
1,421 |
1,106 |
$112K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,015 |
992 |
$81K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
578 |
567 |
$45K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
722 |
693 |
$37K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
429 |
418 |
$34K |
| 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 |
1,527 |
1,382 |
$33K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
381 |
375 |
$29K |
| 99382 |
|
346 |
318 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
453 |
413 |
$28K |
| 99381 |
|
296 |
290 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
686 |
629 |
$23K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
362 |
306 |
$21K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
35 |
34 |
$21K |
| 90837 |
Psychotherapy, 53 minutes with patient |
263 |
207 |
$19K |
| 99215 |
Prolong outpt/office vis |
282 |
265 |
$17K |
| 99383 |
|
177 |
174 |
$16K |
| 59430 |
|
173 |
152 |
$15K |
| 99384 |
|
98 |
95 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
113 |
108 |
$5K |
| 81000 |
|
3,329 |
2,177 |
$4K |
| 81025 |
|
1,027 |
860 |
$4K |
| 99201 |
|
22 |
22 |
$862.66 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
427 |
390 |
$779.02 |
| 69210 |
|
13 |
12 |
$478.65 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$434.76 |
| 59025 |
Fetal non-stress test |
13 |
12 |
$394.90 |
| 82948 |
|
601 |
540 |
$355.32 |
| 87400 |
|
33 |
18 |
$344.23 |
| 96380 |
|
15 |
15 |
$267.26 |
| 90715 |
|
13 |
13 |
$242.76 |
| 83037 |
|
639 |
617 |
$75.24 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
65 |
53 |
$3.22 |
| D0220 |
Intraoral - periapical first radiographic image |
105 |
80 |
$0.00 |
| 90648 |
|
18 |
17 |
$0.00 |
| 90700 |
|
17 |
16 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
211 |
201 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
12 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
119 |
14 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
14 |
13 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
24 |
21 |
$0.00 |