| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
21,914 |
17,867 |
$2.71M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,649 |
9,153 |
$125K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,549 |
3,250 |
$41K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
637 |
564 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
201 |
195 |
$8K |
| 90686 |
|
365 |
332 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,179 |
1,093 |
$8K |
| 81003 |
|
259 |
231 |
$5K |
| 92551 |
|
94 |
89 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
622 |
590 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
217 |
205 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
433 |
406 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
34 |
34 |
$2K |
| 92081 |
|
24 |
24 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
86 |
55 |
$1K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
210 |
203 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
17 |
17 |
$1K |
| 90688 |
|
18 |
17 |
$840.34 |
| 99173 |
|
54 |
51 |
$595.36 |
| 94760 |
|
45 |
44 |
$355.08 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
16 |
$355.08 |
| Q3014 |
Telehealth originating site facility fee |
54 |
50 |
$300.18 |
| 80305 |
|
169 |
146 |
$233.41 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
426 |
380 |
$226.58 |
| 90832 |
Psychotherapy, 30 minutes with patient |
199 |
119 |
$202.86 |
| 3008F |
|
2,627 |
2,417 |
$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 |
1,285 |
1,131 |
$0.00 |
| 1101F |
|
41 |
39 |
$0.00 |
| 96127 |
|
197 |
185 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |
| 3074F |
|
12 |
12 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
17 |
14 |
$0.00 |
| 3078F |
|
25 |
25 |
$0.00 |
| 3077F |
|
13 |
12 |
$0.00 |