| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
45,097 |
35,621 |
$6.81M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,262 |
13,151 |
$459K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,277 |
4,330 |
$174K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,140 |
5,245 |
$161K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
475 |
458 |
$78K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,252 |
1,930 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,565 |
2,269 |
$50K |
| 99385 |
|
243 |
240 |
$41K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
639 |
572 |
$31K |
| 90834 |
Psychotherapy, 45 minutes with patient |
564 |
324 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,039 |
977 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
530 |
515 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
241 |
209 |
$8K |
| 99381 |
|
37 |
37 |
$6K |
| 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 |
188 |
160 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
50 |
46 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
25 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
57 |
48 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
41 |
38 |
$613.10 |
| 90837 |
Psychotherapy, 53 minutes with patient |
51 |
28 |
$388.24 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,435 |
1,327 |
$292.38 |
| 96160 |
|
2,060 |
1,847 |
$273.34 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,857 |
1,754 |
$219.31 |
| 81002 |
|
349 |
250 |
$156.96 |
| 90686 |
|
1,457 |
1,362 |
$90.68 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,152 |
678 |
$90.18 |
| 87428 |
|
40 |
35 |
$60.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
646 |
560 |
$35.09 |
| 90656 |
|
449 |
440 |
$17.47 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,864 |
1,626 |
$17.12 |
| 90473 |
|
187 |
173 |
$13.75 |
| 81025 |
|
1,072 |
904 |
$10.10 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
663 |
636 |
$0.00 |
| 3078F |
|
7,804 |
6,543 |
$0.00 |
| 90671 |
|
950 |
888 |
$0.00 |
| 3077F |
|
524 |
417 |
$0.00 |
| 99408 |
|
26 |
24 |
$0.00 |
| 90681 |
|
207 |
193 |
$0.00 |
| 99173 |
|
373 |
362 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
139 |
135 |
$0.00 |
| 90670 |
|
322 |
304 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
353 |
322 |
$0.00 |
| 90461 |
|
172 |
162 |
$0.00 |
| 81003 |
|
462 |
395 |
$0.00 |
| 90707 |
|
42 |
40 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
426 |
395 |
$0.00 |
| 90648 |
|
248 |
221 |
$0.00 |
| 90661 |
|
64 |
64 |
$0.00 |
| 3074F |
|
8,944 |
7,454 |
$0.00 |
| 90651 |
|
79 |
77 |
$0.00 |
| 3079F |
|
1,512 |
1,241 |
$0.00 |
| 3080F |
|
577 |
461 |
$0.00 |
| 90474 |
|
77 |
70 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
239 |
235 |
$0.00 |
| V5008 |
Hearing screening |
415 |
409 |
$0.00 |
| 3075F |
|
657 |
556 |
$0.00 |
| 97802 |
|
91 |
75 |
$0.00 |
| 87807 |
|
34 |
34 |
$0.00 |
| 90723 |
|
42 |
42 |
$0.00 |
| 90620 |
|
13 |
13 |
$0.00 |
| 90680 |
|
123 |
117 |
$0.00 |
| 90697 |
|
13 |
13 |
$0.00 |
| 90619 |
|
42 |
41 |
$0.00 |
| 96161 |
|
58 |
53 |
$0.00 |
| 87070 |
|
17 |
16 |
$0.00 |