| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,201 |
1,360 |
$486K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,515 |
4,929 |
$129K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,362 |
1,330 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
401 |
325 |
$15K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
301 |
300 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
374 |
370 |
$7K |
| 92551 |
|
700 |
693 |
$6K |
| 90677 |
|
63 |
61 |
$6K |
| 97802 |
|
787 |
740 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
138 |
138 |
$4K |
| 97803 |
|
201 |
191 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
98 |
96 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
112 |
110 |
$3K |
| 90686 |
|
429 |
422 |
$3K |
| 90461 |
|
179 |
151 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
95 |
94 |
$3K |
| 99383 |
|
51 |
51 |
$933.64 |
| 90697 |
|
17 |
15 |
$780.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
100 |
92 |
$682.46 |
| 90651 |
|
12 |
12 |
$500.00 |
| 99384 |
|
17 |
17 |
$466.82 |
| 90656 |
|
155 |
154 |
$452.46 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
24 |
24 |
$270.84 |
| 90671 |
|
14 |
12 |
$250.00 |
| 90670 |
|
13 |
12 |
$140.00 |
| 99173 |
|
553 |
547 |
$115.12 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
235 |
231 |
$87.98 |
| 82947 |
|
13 |
13 |
$45.87 |
| 81002 |
|
764 |
607 |
$9.91 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,609 |
904 |
$0.00 |
| 99401 |
|
80 |
78 |
$0.00 |
| 0502F |
|
28 |
28 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$0.00 |
| 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 |
758 |
670 |
$0.00 |
| 3074F |
|
14 |
13 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |