| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
22,938 |
17,068 |
$2.31M |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
344 |
327 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,666 |
8,767 |
$20K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
106 |
79 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,415 |
4,243 |
$4K |
| 90649 |
|
146 |
121 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
52 |
52 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
85 |
76 |
$832.38 |
| 90734 |
|
30 |
27 |
$597.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
457 |
390 |
$593.53 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
316 |
254 |
$466.37 |
| 90715 |
|
52 |
40 |
$416.80 |
| 36415 |
Collection of venous blood by venipuncture |
171 |
152 |
$294.00 |
| 99000 |
|
90 |
86 |
$259.00 |
| 90707 |
|
22 |
13 |
$96.00 |
| 90716 |
|
21 |
12 |
$96.00 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
1,938 |
1,406 |
$21.12 |
| 99173 |
|
97 |
82 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
64 |
45 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$0.00 |
| 92551 |
|
21 |
17 |
$0.00 |