| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
22,757 |
18,667 |
$3.53M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,993 |
6,993 |
$85K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,715 |
5,203 |
$46K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,845 |
1,657 |
$25K |
| 90686 |
|
632 |
586 |
$12K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
583 |
328 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
681 |
613 |
$8K |
| 99406 |
|
416 |
385 |
$8K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,326 |
992 |
$7K |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
168 |
162 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
109 |
98 |
$3K |
| 96127 |
|
149 |
125 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
345 |
290 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
212 |
191 |
$1K |
| 81025 |
|
338 |
274 |
$994.28 |
| 82962 |
|
260 |
220 |
$772.52 |
| 90834 |
Psychotherapy, 45 minutes with patient |
82 |
74 |
$705.15 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
138 |
58 |
$660.54 |
| 81002 |
|
186 |
166 |
$239.23 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
151 |
144 |
$5.00 |
| 3008F |
|
3,518 |
3,209 |
$0.00 |
| 1036F |
|
1,904 |
1,732 |
$0.00 |
| 3074F |
|
2,367 |
2,158 |
$0.00 |
| 90656 |
|
56 |
56 |
$0.00 |
| 3079F |
|
598 |
567 |
$0.00 |
| 87428 |
|
134 |
116 |
$0.00 |
| 1034F |
|
68 |
63 |
$0.00 |
| 92551 |
|
63 |
63 |
$0.00 |
| 3075F |
|
92 |
91 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
28 |
15 |
$0.00 |
| 3080F |
|
25 |
25 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 1160F |
|
3,087 |
2,805 |
$0.00 |
| 3078F |
|
1,794 |
1,650 |
$0.00 |
| 1159F |
|
2,854 |
2,588 |
$0.00 |
| 3725F |
|
535 |
510 |
$0.00 |
| 90670 |
|
31 |
30 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
25 |
25 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$0.00 |
| 3077F |
|
27 |
24 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
24 |
24 |
$0.00 |