| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
55,390 |
44,540 |
$4.58M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
63,959 |
37,972 |
$1.26M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,982 |
6,850 |
$343K |
| 90837 |
Psychotherapy, 53 minutes with patient |
6,312 |
2,614 |
$261K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,203 |
3,864 |
$122K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,799 |
1,246 |
$73K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,351 |
1,350 |
$69K |
| 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 |
2,789 |
2,338 |
$57K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,521 |
912 |
$51K |
| 90791 |
Psychiatric diagnostic evaluation |
951 |
517 |
$47K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,485 |
843 |
$43K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,540 |
899 |
$41K |
| 96127 |
|
22,386 |
12,821 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,559 |
1,457 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
754 |
469 |
$15K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
492 |
275 |
$10K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
519 |
296 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,021 |
643 |
$8K |
| 90686 |
|
2,830 |
1,600 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
117 |
77 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
97 |
77 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
909 |
558 |
$3K |
| 0011A |
|
84 |
83 |
$3K |
| 90670 |
|
1,646 |
991 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
490 |
290 |
$2K |
| 90756 |
|
233 |
131 |
$2K |
| 0012A |
|
52 |
52 |
$2K |
| 90715 |
|
247 |
183 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
37 |
26 |
$2K |
| 92551 |
|
226 |
184 |
$1K |
| 0031A |
|
27 |
27 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
12 |
$986.37 |
| 90633 |
|
1,122 |
634 |
$965.20 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
179 |
102 |
$918.43 |
| 90710 |
|
258 |
137 |
$854.48 |
| 0001A |
|
22 |
21 |
$778.60 |
| 99383 |
|
13 |
13 |
$744.60 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
29 |
16 |
$356.22 |
| 99307 |
|
293 |
135 |
$350.46 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
22 |
14 |
$344.68 |
| 90656 |
|
107 |
103 |
$277.19 |
| 90723 |
|
605 |
386 |
$149.22 |
| 82962 |
|
72 |
51 |
$124.25 |
| 90648 |
|
269 |
198 |
$123.64 |
| 36415 |
Collection of venous blood by venipuncture |
126 |
56 |
$107.33 |
| 90658 |
|
20 |
14 |
$50.39 |
| 1036F |
|
49,877 |
26,140 |
$46.11 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
160 |
84 |
$30.03 |
| 81003 |
|
74 |
62 |
$21.60 |
| 90647 |
|
665 |
391 |
$20.21 |
| 90651 |
|
94 |
56 |
$0.28 |
| 91301 |
|
139 |
129 |
$0.27 |
| 90734 |
|
66 |
40 |
$0.11 |
| 90681 |
|
51 |
26 |
$0.05 |
| 91307 |
|
19 |
12 |
$0.04 |
| 90671 |
|
32 |
17 |
$0.01 |
| 90696 |
|
54 |
27 |
$0.01 |
| 90657 |
|
50 |
28 |
$0.01 |
| 3050F |
|
1,173 |
645 |
$0.00 |
| 3077F |
|
8,544 |
4,797 |
$0.00 |
| 4004F |
|
8,385 |
4,616 |
$0.00 |
| 3078F |
|
39,616 |
22,398 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
38,228 |
20,329 |
$0.00 |
| 91300 |
|
41 |
36 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
5,203 |
2,755 |
$0.00 |
| 1159F |
|
1,435 |
1,378 |
$0.00 |
| 90685 |
|
37 |
33 |
$0.00 |
| 3045F |
|
109 |
63 |
$0.00 |
| 90707 |
|
55 |
30 |
$0.00 |
| 3046F |
|
26 |
13 |
$0.00 |
| 3074F |
|
51,997 |
29,379 |
$0.00 |
| 2001F |
|
67,912 |
38,350 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
39,696 |
21,104 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
3,982 |
2,123 |
$0.00 |
| 3075F |
|
9,201 |
5,272 |
$0.00 |
| 3080F |
|
4,912 |
2,760 |
$0.00 |
| 1034F |
|
4,109 |
2,658 |
$0.00 |
| 3008F |
|
67,797 |
38,318 |
$0.00 |
| 3048F |
|
6,107 |
3,340 |
$0.00 |
| 3079F |
|
25,703 |
14,627 |
$0.00 |
| 91303 |
|
27 |
27 |
$0.00 |
| 3044F |
|
475 |
393 |
$0.00 |
| 1111F |
|
7,001 |
3,610 |
$0.00 |
| 3049F |
|
2,192 |
1,165 |
$0.00 |
| 90716 |
|
57 |
31 |
$0.00 |
| 90698 |
|
190 |
103 |
$0.00 |
| 90744 |
|
54 |
28 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
67 |
54 |
$0.00 |
| 1125F |
|
94 |
90 |
$0.00 |
| 1035F |
|
93 |
57 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
26 |
24 |
$0.00 |