| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
22,703 |
19,103 |
$1.88M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,633 |
10,717 |
$388K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,122 |
4,979 |
$149K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,618 |
1,511 |
$72K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,536 |
1,409 |
$62K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,014 |
1,227 |
$58K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,296 |
704 |
$36K |
| 90837 |
Psychotherapy, 53 minutes with patient |
113 |
65 |
$8K |
| D1120 |
Prophylaxis - child |
358 |
352 |
$7K |
| D1206 |
Topical application of fluoride varnish |
323 |
317 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
234 |
156 |
$4K |
| 0012A |
|
108 |
104 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
89 |
64 |
$4K |
| 0011A |
|
107 |
101 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
672 |
392 |
$3K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
60 |
39 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
213 |
185 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
142 |
138 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
68 |
64 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
63 |
63 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
54 |
25 |
$1K |
| 0071A |
|
30 |
29 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
28 |
$1K |
| 99188 |
|
209 |
106 |
$1K |
| 90677 |
|
214 |
137 |
$866.52 |
| 0072A |
|
24 |
21 |
$753.26 |
| 3008F |
|
1,843 |
985 |
$696.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
84 |
49 |
$683.51 |
| D1208 |
Topical application of fluoride, excluding varnish |
37 |
37 |
$555.00 |
| 90686 |
|
2,341 |
1,278 |
$509.54 |
| 90674 |
|
35 |
21 |
$481.00 |
| 36415 |
Collection of venous blood by venipuncture |
288 |
235 |
$208.37 |
| 96150 |
|
25 |
25 |
$198.25 |
| 90633 |
|
633 |
411 |
$193.41 |
| 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 |
14 |
12 |
$169.45 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
43 |
31 |
$154.78 |
| 80305 |
|
21 |
12 |
$90.90 |
| 85018 |
|
117 |
80 |
$71.95 |
| 96127 |
|
29 |
15 |
$59.95 |
| 3074F |
|
397 |
203 |
$46.00 |
| 3078F |
|
330 |
194 |
$43.00 |
| 90670 |
|
1,522 |
908 |
$2.66 |
| 91301 |
|
238 |
229 |
$2.10 |
| 90698 |
|
952 |
603 |
$1.22 |
| 90680 |
|
631 |
379 |
$1.12 |
| 91307 |
|
90 |
84 |
$0.78 |
| 91300 |
|
34 |
31 |
$0.26 |
| 90744 |
|
146 |
98 |
$0.12 |
| 90710 |
|
20 |
12 |
$0.11 |
| 90696 |
|
44 |
24 |
$0.10 |
| 90672 |
|
23 |
12 |
$0.08 |
| 90651 |
|
28 |
13 |
$0.08 |
| 90685 |
|
144 |
93 |
$0.01 |
| 90707 |
|
14 |
14 |
$0.00 |
| 3077F |
|
15 |
14 |
$0.00 |
| 4004F |
|
19 |
16 |
$0.00 |
| 90658 |
|
13 |
13 |
$0.00 |
| 90697 |
|
23 |
14 |
$0.00 |
| 90656 |
|
116 |
116 |
$0.00 |
| 99383 |
|
29 |
26 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| 3079F |
|
16 |
15 |
$0.00 |
| 1036F |
|
31 |
29 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
27 |
24 |
$0.00 |
| 99381 |
|
17 |
17 |
$0.00 |
| 90716 |
|
14 |
14 |
$0.00 |
| 90657 |
|
16 |
14 |
$0.00 |