| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
22,548 |
18,638 |
$1.70M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,572 |
18,539 |
$591K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,311 |
2,164 |
$92K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,145 |
2,516 |
$73K |
| 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 |
2,514 |
2,177 |
$42K |
| 99442 |
|
1,345 |
716 |
$15K |
| 90686 |
|
2,940 |
1,845 |
$13K |
| Q3014 |
Telehealth originating site facility fee |
1,107 |
582 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,262 |
809 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
357 |
253 |
$8K |
| 90832 |
Psychotherapy, 30 minutes with patient |
252 |
102 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
217 |
140 |
$5K |
| 99441 |
|
423 |
234 |
$2K |
| 92551 |
|
333 |
202 |
$945.52 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
316 |
261 |
$889.59 |
| 0012A |
|
16 |
16 |
$613.40 |
| 99173 |
|
551 |
335 |
$506.52 |
| 98927 |
|
40 |
36 |
$379.33 |
| 99443 |
|
21 |
12 |
$336.10 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
70 |
60 |
$308.40 |
| 81025 |
|
182 |
141 |
$292.27 |
| 90670 |
|
176 |
135 |
$192.64 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
31 |
28 |
$189.09 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
30 |
27 |
$183.45 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27 |
15 |
$129.72 |
| 81002 |
|
201 |
168 |
$95.34 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$45.00 |
| 90715 |
|
27 |
26 |
$32.27 |
| 98926 |
|
13 |
13 |
$19.10 |
| 91301 |
|
58 |
50 |
$0.33 |
| 3079F |
|
188 |
110 |
$0.12 |
| 3074F |
|
261 |
152 |
$0.12 |
| 3078F |
|
181 |
110 |
$0.07 |
| 3075F |
|
61 |
36 |
$0.04 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
123 |
120 |
$0.00 |
| 90734 |
|
39 |
24 |
$0.00 |
| 90633 |
|
47 |
31 |
$0.00 |
| 90647 |
|
83 |
72 |
$0.00 |
| 90723 |
|
65 |
59 |
$0.00 |
| 90651 |
|
38 |
25 |
$0.00 |