| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
38,198 |
32,348 |
$7.75M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,133 |
30,848 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,195 |
9,090 |
$23K |
| 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 |
464 |
433 |
$22K |
| 0012A |
|
185 |
184 |
$12K |
| 0011A |
|
186 |
184 |
$10K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
398 |
342 |
$6K |
| 0064A |
|
101 |
101 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,950 |
6,352 |
$2K |
| 90688 |
|
1,034 |
1,026 |
$570.36 |
| 0134A |
|
13 |
13 |
$469.00 |
| 81002 |
|
2,676 |
2,196 |
$244.25 |
| 99000 |
|
620 |
505 |
$235.88 |
| 90715 |
|
249 |
243 |
$225.72 |
| 90686 |
|
1,901 |
1,886 |
$211.57 |
| 3078F |
|
647 |
600 |
$166.47 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,248 |
4,118 |
$152.09 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
62 |
55 |
$66.34 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
724 |
693 |
$37.50 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
44 |
40 |
$34.19 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
158 |
153 |
$28.70 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,241 |
1,232 |
$4.04 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
192 |
186 |
$0.00 |
| 90716 |
|
68 |
68 |
$0.00 |
| 82962 |
|
1,889 |
1,799 |
$0.00 |
| 90680 |
|
250 |
250 |
$0.00 |
| 3074F |
|
886 |
807 |
$0.00 |
| 3079F |
|
372 |
355 |
$0.00 |
| 85018 |
|
2,583 |
2,577 |
$0.00 |
| 90744 |
|
209 |
207 |
$0.00 |
| 3075F |
|
55 |
50 |
$0.00 |
| 90723 |
|
120 |
120 |
$0.00 |
| 92551 |
|
52 |
44 |
$0.00 |
| 90651 |
|
404 |
404 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
677 |
456 |
$0.00 |
| 59430 |
|
12 |
12 |
$0.00 |
| 90698 |
|
496 |
494 |
$0.00 |
| 99383 |
|
70 |
70 |
$0.00 |
| 90656 |
|
197 |
197 |
$0.00 |
| 90677 |
|
193 |
193 |
$0.00 |
| 90474 |
|
31 |
31 |
$0.00 |
| 96156 |
|
139 |
132 |
$0.00 |
| J3490 |
Unclassified drugs |
194 |
194 |
$0.00 |
| 90696 |
|
67 |
67 |
$0.00 |
| 93000 |
|
81 |
58 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
26 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
146 |
145 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
40 |
32 |
$0.00 |
| 90732 |
|
17 |
17 |
$0.00 |
| 86580 |
|
63 |
60 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
87 |
77 |
$0.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
85 |
75 |
$0.00 |
| 91301 |
|
36 |
36 |
$0.00 |
| 99381 |
|
14 |
14 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$0.00 |
| 88142 |
|
15 |
15 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
17 |
15 |
$0.00 |
| 97802 |
|
15 |
15 |
$0.00 |
| 99384 |
|
20 |
20 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
64 |
44 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |
| 96150 |
|
16 |
16 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
618 |
616 |
$0.00 |
| 81025 |
|
604 |
590 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
952 |
951 |
$0.00 |
| 99173 |
|
1,402 |
1,378 |
$0.00 |
| 90670 |
|
665 |
661 |
$0.00 |
| 59425 |
|
205 |
157 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
875 |
867 |
$0.00 |
| 99188 |
|
88 |
86 |
$0.00 |
| 92552 |
|
1,269 |
1,265 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
112 |
111 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,180 |
1,176 |
$0.00 |
| 90648 |
|
216 |
216 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,093 |
998 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
100 |
100 |
$0.00 |
| 90633 |
|
473 |
471 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
459 |
299 |
$0.00 |
| 90734 |
|
347 |
347 |
$0.00 |
| 90658 |
|
15 |
15 |
$0.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
149 |
145 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
113 |
113 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
127 |
124 |
$0.00 |
| 81003 |
|
82 |
80 |
$0.00 |
| 99401 |
|
90 |
88 |
$0.00 |
| 83655 |
|
208 |
208 |
$0.00 |
| 90681 |
|
34 |
34 |
$0.00 |
| 90710 |
|
44 |
44 |
$0.00 |
| 90700 |
|
38 |
38 |
$0.00 |
| 97803 |
|
57 |
51 |
$0.00 |
| 3077F |
|
81 |
77 |
$0.00 |
| 90707 |
|
46 |
42 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$0.00 |
| 90685 |
|
19 |
19 |
$0.00 |
| 90746 |
|
18 |
18 |
$0.00 |