| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
26,945 |
20,599 |
$3.69M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,007 |
11,191 |
$130K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,156 |
4,340 |
$28K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
977 |
876 |
$17K |
| 90686 |
|
744 |
686 |
$14K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
372 |
197 |
$8K |
| 96127 |
|
1,261 |
1,087 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,191 |
1,110 |
$4K |
| 99406 |
|
156 |
141 |
$4K |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
13 |
13 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
737 |
564 |
$2K |
| 80305 |
|
1,294 |
613 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,144 |
980 |
$934.41 |
| 90791 |
Psychiatric diagnostic evaluation |
64 |
56 |
$365.38 |
| 0134A |
|
36 |
16 |
$344.00 |
| 0064A |
|
24 |
22 |
$280.00 |
| 81002 |
|
176 |
166 |
$266.68 |
| G0008 |
Administration of influenza virus vaccine |
166 |
158 |
$182.69 |
| 82947 |
|
61 |
61 |
$163.54 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
67 |
64 |
$90.02 |
| 90656 |
|
12 |
12 |
$44.70 |
| 87428 |
|
130 |
113 |
$24.18 |
| 3080F |
|
247 |
232 |
$0.00 |
| 3074F |
|
1,893 |
1,703 |
$0.00 |
| 3008F |
|
2,714 |
2,400 |
$0.00 |
| 3079F |
|
728 |
683 |
$0.00 |
| 1036F |
|
962 |
863 |
$0.00 |
| 3075F |
|
228 |
221 |
$0.00 |
| 1034F |
|
264 |
236 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
52 |
39 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
546 |
311 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
194 |
182 |
$0.00 |
| 3725F |
|
619 |
592 |
$0.00 |
| 3077F |
|
241 |
212 |
$0.00 |
| 1160F |
|
2,847 |
2,509 |
$0.00 |
| 1159F |
|
2,497 |
2,221 |
$0.00 |
| 3078F |
|
1,167 |
1,041 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
262 |
126 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
44 |
40 |
$0.00 |