| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
26,428 |
21,818 |
$1.82M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,926 |
17,785 |
$652K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,644 |
2,418 |
$228K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,617 |
5,448 |
$227K |
| 90686 |
|
947 |
607 |
$211K |
| 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 |
2,388 |
2,042 |
$48K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,408 |
1,586 |
$30K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
964 |
549 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,395 |
826 |
$16K |
| 90837 |
Psychotherapy, 53 minutes with patient |
291 |
97 |
$15K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
324 |
201 |
$12K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
149 |
88 |
$9K |
| 90688 |
|
554 |
371 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
91 |
60 |
$6K |
| 90674 |
|
174 |
161 |
$5K |
| 0011A |
|
129 |
47 |
$4K |
| 90750 |
|
46 |
25 |
$4K |
| 0012A |
|
104 |
38 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
42 |
39 |
$4K |
| 0013A |
|
90 |
36 |
$3K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
850 |
545 |
$3K |
| 92552 |
|
162 |
119 |
$2K |
| 81002 |
|
1,657 |
981 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
60 |
32 |
$2K |
| 90756 |
|
115 |
65 |
$2K |
| 90656 |
|
204 |
144 |
$2K |
| 82270 |
|
766 |
614 |
$2K |
| 0064A |
|
46 |
31 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
267 |
165 |
$1K |
| 90694 |
|
68 |
57 |
$1K |
| 83026 |
|
461 |
297 |
$883.50 |
| 90715 |
|
43 |
27 |
$633.23 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
15 |
$617.40 |
| 99173 |
|
328 |
196 |
$617.19 |
| 92551 |
|
109 |
97 |
$485.55 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
12 |
$355.70 |
| 90653 |
|
32 |
32 |
$76.79 |
| 91301 |
|
86 |
86 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
34 |
34 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
65 |
65 |
$0.00 |