| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
70,818 |
58,219 |
$17.49M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51,604 |
30,536 |
$547K |
| 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 |
1,793 |
1,405 |
$257K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,378 |
10,011 |
$227K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15,652 |
8,810 |
$93K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,393 |
2,591 |
$85K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,084 |
1,761 |
$65K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,053 |
2,452 |
$61K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,505 |
2,349 |
$44K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
789 |
472 |
$26K |
| 92552 |
|
9,180 |
5,521 |
$13K |
| 59425 |
|
214 |
154 |
$8K |
| 90686 |
|
3,976 |
2,663 |
$8K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
242 |
195 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
236 |
202 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
385 |
244 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
63 |
39 |
$3K |
| 85018 |
|
13,465 |
8,226 |
$3K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
160 |
112 |
$3K |
| 90647 |
|
2,389 |
1,589 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
183 |
151 |
$2K |
| 90723 |
|
1,667 |
1,104 |
$1K |
| 90670 |
|
2,389 |
1,577 |
$1K |
| 90716 |
|
1,264 |
761 |
$1K |
| 90677 |
|
481 |
322 |
$1K |
| 90680 |
|
1,639 |
1,078 |
$1K |
| 90707 |
|
1,230 |
727 |
$979.97 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
918 |
540 |
$958.58 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,083 |
692 |
$941.61 |
| 90633 |
|
1,236 |
746 |
$941.38 |
| 0012A |
|
54 |
29 |
$869.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,065 |
690 |
$836.54 |
| 90734 |
|
995 |
571 |
$817.83 |
| 90656 |
|
373 |
245 |
$657.45 |
| 81025 |
|
1,603 |
1,076 |
$627.27 |
| 87634 |
|
14 |
12 |
$516.49 |
| 90700 |
|
503 |
297 |
$427.27 |
| 86580 |
|
750 |
505 |
$397.45 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
30 |
26 |
$222.30 |
| 90649 |
|
283 |
169 |
$211.30 |
| 90715 |
|
522 |
319 |
$199.74 |
| 90658 |
|
43 |
43 |
$184.40 |
| 81003 |
|
850 |
519 |
$107.02 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
690 |
475 |
$98.52 |
| 90688 |
|
39 |
39 |
$80.28 |
| 90685 |
|
77 |
54 |
$76.38 |
| 82948 |
|
978 |
612 |
$75.13 |
| 0011A |
|
26 |
18 |
$39.15 |
| 90696 |
|
59 |
42 |
$18.00 |
| 81002 |
|
36 |
33 |
$17.95 |
| 99441 |
|
81 |
75 |
$12.96 |
| 90657 |
|
19 |
12 |
$4.46 |
| 3074F |
|
731 |
675 |
$0.00 |
| 3008F |
|
16,407 |
14,499 |
$0.00 |
| 3075F |
|
372 |
355 |
$0.00 |
| Z1034 |
|
1,844 |
1,071 |
$0.00 |
| 3044F |
|
24 |
24 |
$0.00 |
| 3079F |
|
454 |
431 |
$0.00 |
| 91301 |
|
66 |
54 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
22 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$0.00 |
| 1159F |
|
15,446 |
12,436 |
$0.00 |
| 1160F |
|
8,319 |
7,105 |
$0.00 |
| 3078F |
|
913 |
832 |
$0.00 |
| 90713 |
|
19 |
12 |
$0.00 |
| 99442 |
|
13 |
12 |
$0.00 |
| 3077F |
|
27 |
26 |
$0.00 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
18 |
12 |
$0.00 |