| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
13,473 |
11,320 |
$1.99M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,694 |
7,508 |
$98K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
876 |
813 |
$26K |
| 87428 |
|
715 |
569 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,102 |
866 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
139 |
138 |
$4K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
56 |
34 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
132 |
127 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
69 |
69 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
94 |
88 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
14 |
$565.71 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
167 |
156 |
$450.04 |
| 36415 |
Collection of venous blood by venipuncture |
200 |
157 |
$409.66 |
| 92551 |
|
368 |
361 |
$358.44 |
| 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 |
39 |
38 |
$293.04 |
| 87807 |
|
29 |
29 |
$234.63 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
41 |
28 |
$210.70 |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
204 |
176 |
$204.00 |
| 96127 |
|
158 |
128 |
$165.31 |
| 0002A |
|
18 |
14 |
$160.00 |
| 90686 |
|
48 |
40 |
$88.22 |
| 90715 |
|
12 |
12 |
$33.44 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
32 |
29 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
33 |
31 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
60 |
60 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
25 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
42 |
41 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
41 |
40 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
62 |
59 |
$0.00 |
| 90461 |
|
25 |
25 |
$0.00 |