| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
13,385 |
10,097 |
$1.98M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,656 |
4,068 |
$243K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,990 |
1,417 |
$120K |
| D0999 |
Unspecified diagnostic procedure, by report |
416 |
357 |
$71K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
470 |
411 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
282 |
266 |
$15K |
| 99000 |
|
2,534 |
2,351 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
115 |
115 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
270 |
260 |
$3K |
| 81003 |
|
1,101 |
1,026 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
554 |
521 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
334 |
320 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
568 |
539 |
$2K |
| 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 |
63 |
59 |
$2K |
| 90688 |
|
31 |
31 |
$889.02 |
| 81025 |
|
244 |
224 |
$576.81 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$456.12 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
13 |
$367.37 |
| 90734 |
|
39 |
32 |
$186.14 |
| CP003 |
|
20 |
13 |
$185.38 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
25 |
22 |
$124.00 |
| 0001A |
|
14 |
14 |
$80.00 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$51.97 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
335 |
320 |
$51.02 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
12 |
$31.79 |
| 90686 |
|
41 |
41 |
$17.52 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
54 |
46 |
$7.84 |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
41 |
41 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
60 |
60 |
$0.00 |
| D1120 |
Prophylaxis - child |
16 |
16 |
$0.00 |
| 87210 |
|
14 |
14 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
19 |
16 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,935 |
1,832 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
224 |
217 |
$0.00 |
| D0602 |
|
15 |
12 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
15 |
15 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$0.00 |
| 0011A |
|
24 |
24 |
$0.00 |
| 0012A |
|
25 |
25 |
$0.00 |