| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
31,711 |
24,739 |
$2.79M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,035 |
8,927 |
$397K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,597 |
8,417 |
$190K |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,529 |
1,928 |
$112K |
| 99442 |
|
4,504 |
2,315 |
$46K |
| 99443 |
|
1,756 |
1,009 |
$24K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,856 |
1,089 |
$17K |
| 91322 |
|
187 |
135 |
$15K |
| 90686 |
|
1,803 |
1,372 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,503 |
1,889 |
$11K |
| 0011A |
|
289 |
286 |
$11K |
| 0012A |
|
261 |
259 |
$10K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,606 |
1,794 |
$8K |
| 90480 |
|
258 |
192 |
$8K |
| 99215 |
Prolong outpt/office vis |
166 |
107 |
$7K |
| 90674 |
|
572 |
372 |
$7K |
| 0124A |
|
347 |
206 |
$7K |
| 0064A |
|
204 |
154 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
716 |
375 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
380 |
216 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
402 |
238 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
144 |
75 |
$3K |
| 90661 |
|
157 |
146 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
246 |
170 |
$3K |
| 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 |
209 |
173 |
$2K |
| 82962 |
|
2,253 |
1,541 |
$2K |
| 0004A |
|
66 |
48 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
36 |
25 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
134 |
108 |
$1K |
| 90837 |
Psychotherapy, 53 minutes with patient |
28 |
15 |
$1K |
| 99441 |
|
186 |
97 |
$1K |
| 0134A |
|
47 |
29 |
$866.18 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24 |
14 |
$693.33 |
| 0002A |
|
14 |
12 |
$473.62 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
150 |
112 |
$434.62 |
| 91300 |
|
214 |
172 |
$101.53 |
| 81003 |
|
191 |
149 |
$84.00 |
| 91301 |
|
573 |
538 |
$5.45 |
| 91307 |
|
15 |
12 |
$0.10 |
| 91306 |
|
202 |
154 |
$0.03 |
| 3078F |
|
9,383 |
6,760 |
$0.00 |
| 91312 |
|
338 |
198 |
$0.00 |
| 3077F |
|
250 |
198 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
228 |
182 |
$0.00 |
| 90461 |
|
131 |
51 |
$0.00 |
| T2003 |
Non-emergency transportation; encounter/trip |
51 |
47 |
$0.00 |
| 91313 |
|
48 |
29 |
$0.00 |
| 3045F |
|
12 |
12 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
35 |
24 |
$0.00 |
| 81025 |
|
65 |
50 |
$0.00 |
| 90633 |
|
32 |
13 |
$0.00 |
| 96160 |
|
12 |
12 |
$0.00 |
| 3079F |
|
2,435 |
1,706 |
$0.00 |
| 3074F |
|
8,118 |
6,995 |
$0.00 |
| 3008F |
|
9,931 |
5,844 |
$0.00 |
| 3044F |
|
445 |
400 |
$0.00 |
| 3075F |
|
522 |
435 |
$0.00 |
| 3080F |
|
20 |
14 |
$0.00 |
| 85018 |
|
26 |
25 |
$0.00 |
| 90651 |
|
17 |
12 |
$0.00 |