| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
9,101 |
7,468 |
$2.41M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,443 |
5,770 |
$193K |
| D0999 |
Unspecified diagnostic procedure, by report |
380 |
343 |
$106K |
| 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 |
1,095 |
963 |
$37K |
| 90837 |
Psychotherapy, 53 minutes with patient |
637 |
529 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
730 |
709 |
$20K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
414 |
391 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
149 |
130 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
440 |
423 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
453 |
442 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
45 |
45 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
28 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
259 |
244 |
$1K |
| CP002 |
|
101 |
94 |
$670.00 |
| 87428 |
|
26 |
25 |
$326.70 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
12 |
12 |
$235.80 |
| 81002 |
|
135 |
130 |
$169.36 |
| 93000 |
|
12 |
12 |
$108.63 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
28 |
25 |
$105.82 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
517 |
496 |
$82.50 |
| 90686 |
|
104 |
103 |
$73.28 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$5.33 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
239 |
140 |
$0.50 |
| 36415 |
Collection of venous blood by venipuncture |
740 |
715 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
67 |
67 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
26 |
26 |
$0.00 |
| 92587 |
|
153 |
147 |
$0.00 |
| D0602 |
|
26 |
26 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |
| 99401 |
|
32 |
30 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |
| 99173 |
|
64 |
59 |
$0.00 |