| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
14,376 |
11,110 |
$4.23M |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
8,390 |
6,721 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,798 |
5,194 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,042 |
1,846 |
$800.66 |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,515 |
1,092 |
$740.95 |
| 87428 |
|
292 |
280 |
$364.80 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
356 |
343 |
$69.38 |
| 96127 |
|
85 |
80 |
$5.09 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$2.26 |
| 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 |
679 |
573 |
$0.00 |
| 90656 |
|
20 |
20 |
$0.00 |
| 99000 |
|
43 |
29 |
$0.00 |
| 90686 |
|
83 |
79 |
$0.00 |
| 87807 |
|
12 |
12 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
16 |
14 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
545 |
525 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
66 |
64 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
104 |
83 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
55 |
53 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
165 |
125 |
$0.00 |
| 86328 |
|
37 |
35 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
32 |
30 |
$0.00 |
| 81003 |
|
31 |
30 |
$0.00 |