| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
25,304 |
21,277 |
$2.56M |
| 99199 |
Unlisted special service, procedure or report |
165,902 |
77,798 |
$911K |
| 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 |
2,499 |
2,276 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
331 |
239 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
124 |
114 |
$11K |
| 99383 |
|
53 |
51 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
794 |
659 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
336 |
287 |
$5K |
| 99384 |
|
20 |
19 |
$4K |
| 99382 |
|
12 |
12 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
303 |
286 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
224 |
198 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
132 |
131 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
190 |
179 |
$1K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
72 |
68 |
$1K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
42 |
37 |
$938.40 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
167 |
129 |
$406.54 |
| 81025 |
|
68 |
55 |
$361.80 |
| 90756 |
|
27 |
12 |
$206.40 |
| 96160 |
|
63 |
41 |
$138.82 |
| 99173 |
|
56 |
53 |
$33.08 |
| 92551 |
|
59 |
57 |
$24.81 |
| 96161 |
|
29 |
15 |
$15.72 |
| 96127 |
|
53 |
51 |
$15.63 |
| 90661 |
|
15 |
15 |
$0.00 |
| 3078F |
|
700 |
675 |
$0.00 |
| 90633 |
|
37 |
36 |
$0.00 |
| 3077F |
|
133 |
131 |
$0.00 |
| 90670 |
|
76 |
63 |
$0.00 |
| J2426 |
Injection, paliperidone palmitate extended release (invega sustenna), 1 mg |
19 |
13 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
87 |
49 |
$0.00 |
| 90656 |
|
12 |
12 |
$0.00 |
| 3074F |
|
937 |
901 |
$0.00 |
| 3079F |
|
421 |
407 |
$0.00 |
| 99000 |
|
120 |
116 |
$0.00 |
| 3080F |
|
103 |
102 |
$0.00 |
| 3075F |
|
147 |
145 |
$0.00 |
| 90677 |
|
39 |
37 |
$0.00 |
| 90680 |
|
15 |
12 |
$0.00 |
| 3044F |
|
15 |
14 |
$0.00 |