| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
43,677 |
37,755 |
$7.09M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,751 |
17,532 |
$101K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,810 |
7,462 |
$43K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,077 |
1,821 |
$24K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
352 |
226 |
$16K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
997 |
947 |
$14K |
| Z1034 |
|
3,688 |
2,525 |
$14K |
| 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 |
123 |
114 |
$6K |
| 0004A |
|
128 |
128 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,843 |
1,619 |
$5K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,404 |
1,256 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
203 |
202 |
$4K |
| 0064A |
|
92 |
89 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
423 |
406 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
316 |
292 |
$3K |
| 0002A |
|
47 |
47 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
646 |
566 |
$3K |
| 90686 |
|
602 |
544 |
$2K |
| 0001A |
|
33 |
33 |
$2K |
| 0071A |
|
28 |
28 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
246 |
229 |
$1K |
| 0072A |
|
14 |
14 |
$938.00 |
| 81002 |
|
4,135 |
3,179 |
$871.97 |
| 0012A |
|
20 |
20 |
$800.00 |
| 0011A |
|
18 |
18 |
$720.00 |
| 3078F |
|
2,559 |
2,243 |
$708.23 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
178 |
166 |
$637.28 |
| 90715 |
|
16 |
14 |
$530.34 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
267 |
226 |
$524.68 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
47 |
46 |
$484.11 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
88 |
78 |
$474.13 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,003 |
1,855 |
$436.74 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
623 |
538 |
$317.35 |
| 90739 |
|
55 |
52 |
$306.00 |
| 81025 |
|
622 |
545 |
$276.63 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
212 |
199 |
$236.86 |
| 90688 |
|
15 |
13 |
$232.87 |
| 90707 |
|
17 |
14 |
$186.71 |
| 90746 |
|
14 |
13 |
$172.26 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
47 |
43 |
$168.06 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
153 |
130 |
$140.00 |
| 86580 |
|
20 |
20 |
$117.48 |
| Z1038 |
|
74 |
71 |
$108.86 |
| 90716 |
|
13 |
13 |
$81.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$68.90 |
| 93000 |
|
82 |
72 |
$57.40 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
61 |
48 |
$54.83 |
| 82962 |
|
49 |
43 |
$48.39 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
18 |
15 |
$45.93 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
334 |
321 |
$35.00 |
| 90656 |
|
85 |
81 |
$26.81 |
| 99000 |
|
42 |
41 |
$25.77 |
| 3079F |
|
572 |
538 |
$24.04 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
374 |
360 |
$17.70 |
| 99173 |
|
52 |
46 |
$13.03 |
| 85018 |
|
118 |
108 |
$11.34 |
| 90734 |
|
14 |
13 |
$9.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
15 |
$1.89 |
| Z6400 |
|
364 |
356 |
$0.00 |
| Z6414 |
|
14 |
14 |
$0.00 |
| 3077F |
|
120 |
113 |
$0.00 |
| Z6304 |
|
523 |
521 |
$0.00 |
| Z6300 |
|
325 |
323 |
$0.00 |
| 91300 |
|
43 |
43 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
49 |
39 |
$0.00 |
| Z6200 |
|
204 |
203 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |
| 90658 |
|
42 |
40 |
$0.00 |
| 90750 |
|
15 |
13 |
$0.00 |
| Z6308 |
|
14 |
14 |
$0.00 |
| Z6406 |
|
679 |
641 |
$0.00 |
| 3075F |
|
189 |
182 |
$0.00 |
| Z6410 |
|
1,098 |
930 |
$0.00 |
| Z6204 |
|
494 |
490 |
$0.00 |
| 3074F |
|
3,107 |
2,712 |
$0.00 |
| Z1032 |
|
172 |
171 |
$0.00 |
| Z6402 |
|
314 |
312 |
$0.00 |
| 3080F |
|
14 |
13 |
$0.00 |
| 92551 |
|
38 |
33 |
$0.00 |
| 3044F |
|
42 |
38 |
$0.00 |
| 87807 |
|
15 |
13 |
$0.00 |
| 91306 |
|
13 |
13 |
$0.00 |