| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,545 |
3,400 |
$731K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
297 |
297 |
$50K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
496 |
421 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
35 |
26 |
$3K |
| 81025 |
|
473 |
410 |
$3K |
| 99402 |
|
49 |
49 |
$3K |
| 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 |
20 |
18 |
$684.38 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
48 |
47 |
$512.82 |
| 86580 |
|
71 |
70 |
$428.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
51 |
51 |
$0.00 |
| 90686 |
|
14 |
14 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20 |
18 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
24 |
24 |
$0.00 |
| 91300 |
|
17 |
17 |
$0.00 |