| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
11,730 |
6,913 |
$2.78M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,322 |
4,071 |
$407K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,323 |
2,576 |
$142K |
| 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 |
970 |
605 |
$68K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
48 |
42 |
$7K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,364 |
572 |
$6K |
| G0008 |
Administration of influenza virus vaccine |
135 |
125 |
$956.48 |
| 99050 |
|
88 |
81 |
$897.12 |
| 0011A |
|
34 |
34 |
$667.83 |
| 80305 |
|
100 |
89 |
$621.68 |
| 0031A |
|
21 |
21 |
$475.00 |
| 0012A |
|
18 |
18 |
$375.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
189 |
188 |
$348.90 |
| D1120 |
Prophylaxis - child |
195 |
193 |
$341.70 |
| 36415 |
Collection of venous blood by venipuncture |
167 |
154 |
$271.56 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
31 |
26 |
$259.10 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
14 |
$159.90 |
| D1110 |
Prophylaxis - adult |
225 |
222 |
$152.98 |
| D0274 |
Bitewings - four radiographic images |
66 |
66 |
$111.52 |
| 90832 |
Psychotherapy, 30 minutes with patient |
21 |
12 |
$0.00 |
| 91303 |
|
21 |
21 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
292 |
252 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
108 |
105 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
147 |
68 |
$0.00 |
| 91301 |
|
69 |
69 |
$0.00 |