| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
54,835 |
45,269 |
$6.24M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,476 |
19,480 |
$3K |
| 99442 |
|
1,241 |
1,146 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,808 |
2,364 |
$492.32 |
| 90791 |
Psychiatric diagnostic evaluation |
1,043 |
992 |
$353.64 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,170 |
835 |
$124.22 |
| 90837 |
Psychotherapy, 53 minutes with patient |
68 |
40 |
$114.41 |
| 90834 |
Psychotherapy, 45 minutes with patient |
591 |
371 |
$100.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,223 |
3,988 |
$19.36 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
484 |
461 |
$15.56 |
| 90681 |
|
98 |
94 |
$0.00 |
| 81025 |
|
1,469 |
1,390 |
$0.00 |
| 90461 |
|
1,705 |
1,566 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
918 |
844 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
801 |
705 |
$0.00 |
| 81002 |
|
506 |
463 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
502 |
467 |
$0.00 |
| 87220 |
|
237 |
214 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
256 |
230 |
$0.00 |
| 87210 |
|
934 |
857 |
$0.00 |
| 90670 |
|
348 |
275 |
$0.00 |
| 99173 |
|
47 |
47 |
$0.00 |
| 0071A |
|
91 |
91 |
$0.00 |
| 0002A |
|
272 |
267 |
$0.00 |
| 91300 |
|
464 |
412 |
$0.00 |
| 83655 |
|
155 |
132 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
108 |
101 |
$0.00 |
| 0013A |
|
14 |
14 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
45 |
45 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
131 |
128 |
$0.00 |
| 90633 |
|
44 |
26 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
36 |
29 |
$0.00 |
| 0004A |
|
25 |
25 |
$0.00 |
| 90682 |
|
14 |
14 |
$0.00 |
| 99188 |
|
84 |
82 |
$0.00 |
| 90671 |
|
73 |
73 |
$0.00 |
| 86703 |
|
25 |
25 |
$0.00 |
| 97803 |
|
39 |
28 |
$0.00 |
| 90685 |
|
14 |
14 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$0.00 |
| 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 |
1,853 |
1,108 |
$0.00 |
| 97802 |
|
68 |
64 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
345 |
289 |
$0.00 |
| 91307 |
|
146 |
135 |
$0.00 |
| 85018 |
|
297 |
254 |
$0.00 |
| 90680 |
|
99 |
63 |
$0.00 |
| 90697 |
|
30 |
25 |
$0.00 |
| 90656 |
|
78 |
78 |
$0.00 |
| 90698 |
|
70 |
46 |
$0.00 |
| 90688 |
|
415 |
408 |
$0.00 |
| 0001A |
|
285 |
283 |
$0.00 |
| 90686 |
|
527 |
510 |
$0.00 |
| 92551 |
|
58 |
58 |
$0.00 |
| 0012A |
|
101 |
101 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
236 |
228 |
$0.00 |
| 86580 |
|
65 |
59 |
$0.00 |
| 99441 |
|
14 |
14 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
206 |
132 |
$0.00 |
| 0072A |
|
90 |
90 |
$0.00 |
| 91301 |
|
155 |
155 |
$0.00 |
| 0011A |
|
94 |
94 |
$0.00 |
| T2022 |
Case management, per month |
96 |
50 |
$0.00 |
| 0064A |
|
35 |
35 |
$0.00 |
| 99381 |
|
44 |
38 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 96127 |
|
16 |
12 |
$0.00 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
12 |
12 |
$0.00 |
| 90723 |
|
21 |
12 |
$0.00 |
| 90744 |
|
27 |
13 |
$0.00 |