| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,443 |
10,576 |
$1.91M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,292 |
3,977 |
$734K |
| T1015 |
Clinic visit/encounter, all-inclusive |
7,877 |
5,267 |
$732K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
391 |
389 |
$76K |
| 90834 |
Psychotherapy, 45 minutes with patient |
404 |
319 |
$65K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
288 |
288 |
$53K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
254 |
244 |
$41K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
202 |
201 |
$39K |
| 87428 |
|
588 |
525 |
$36K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
560 |
527 |
$28K |
| 90832 |
Psychotherapy, 30 minutes with patient |
153 |
75 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
53 |
53 |
$11K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
259 |
255 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$4K |
| G9153 |
Mapcp demonstration - physician incentive pool |
81 |
81 |
$4K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
30 |
28 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
821 |
770 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
569 |
359 |
$2K |
| 96161 |
|
63 |
62 |
$1K |
| 90686 |
|
390 |
373 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
967 |
949 |
$1K |
| 99177 |
|
1,379 |
1,362 |
$1K |
| 92587 |
|
1,430 |
1,412 |
$919.73 |
| 96160 |
|
256 |
255 |
$670.05 |
| 87400 |
|
172 |
166 |
$409.68 |
| 90670 |
|
38 |
37 |
$370.50 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
171 |
168 |
$249.24 |
| 96127 |
|
148 |
148 |
$156.42 |
| 85018 |
|
89 |
87 |
$39.90 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$37.65 |
| 92551 |
|
20 |
20 |
$22.83 |
| 81003 |
|
42 |
38 |
$11.64 |
| 94760 |
|
126 |
116 |
$1.68 |
| 90633 |
|
12 |
12 |
$0.00 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
17 |
17 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
198 |
198 |
$0.00 |
| 3008F |
|
84 |
81 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 36416 |
|
13 |
13 |
$0.00 |
| 90656 |
|
34 |
34 |
$0.00 |