| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
24,620 |
20,154 |
$3.02M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,712 |
9,937 |
$179K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,736 |
6,032 |
$60K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
658 |
533 |
$19K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
604 |
559 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
289 |
286 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
413 |
385 |
$11K |
| 81003 |
|
401 |
346 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
591 |
557 |
$9K |
| 90832 |
Psychotherapy, 30 minutes with patient |
240 |
175 |
$6K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
566 |
479 |
$6K |
| 90686 |
|
212 |
203 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
104 |
59 |
$5K |
| 3074F |
|
183 |
167 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
73 |
63 |
$3K |
| 3079F |
|
174 |
159 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
57 |
56 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
257 |
239 |
$2K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
12 |
12 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
18 |
$1K |
| 92081 |
|
12 |
12 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
66 |
66 |
$770.42 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
40 |
37 |
$645.05 |
| 90688 |
|
17 |
17 |
$603.62 |
| 0064A |
|
21 |
19 |
$560.00 |
| 94760 |
|
17 |
17 |
$366.94 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
44 |
40 |
$360.99 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
345 |
282 |
$268.28 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
77 |
71 |
$173.19 |
| 3078F |
|
85 |
78 |
$120.19 |
| 90674 |
|
13 |
12 |
$104.56 |
| 3075F |
|
57 |
54 |
$0.14 |
| 3080F |
|
18 |
18 |
$0.08 |
| 90791 |
Psychiatric diagnostic evaluation |
15 |
15 |
$0.00 |
| 3077F |
|
60 |
56 |
$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 |
1,863 |
1,657 |
$0.00 |
| 3008F |
|
965 |
894 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
140 |
136 |
$0.00 |
| 90694 |
|
12 |
12 |
$0.00 |
| 96127 |
|
39 |
39 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
21 |
18 |
$0.00 |
| 91306 |
|
15 |
13 |
$0.00 |