| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
26,428 |
19,563 |
$3.45M |
| H2020 |
Therapeutic behavioral services, per diem |
565 |
362 |
$72K |
| D0999 |
Unspecified diagnostic procedure, by report |
131 |
109 |
$16K |
| 0001A |
|
230 |
108 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,925 |
12,068 |
$809.46 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,563 |
4,509 |
$236.54 |
| 0002A |
|
22 |
13 |
$125.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
386 |
337 |
$62.65 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
655 |
532 |
$14.70 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
940 |
715 |
$0.00 |
| 36416 |
|
207 |
165 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,208 |
1,692 |
$0.00 |
| 86710 |
|
741 |
550 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,178 |
1,320 |
$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 |
305 |
247 |
$0.00 |
| 0011A |
|
32 |
13 |
$0.00 |
| 90686 |
|
60 |
49 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
190 |
175 |
$0.00 |
| 87650 |
|
122 |
85 |
$0.00 |
| 92551 |
|
212 |
193 |
$0.00 |
| 87428 |
|
50 |
42 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
49 |
42 |
$0.00 |
| 81001 |
|
27 |
18 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
16 |
12 |
$0.00 |
| 85018 |
|
82 |
59 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
255 |
192 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
448 |
252 |
$0.00 |
| 81002 |
|
968 |
812 |
$0.00 |
| 81025 |
|
1,329 |
1,024 |
$0.00 |
| 96160 |
|
258 |
235 |
$0.00 |
| 99173 |
|
273 |
236 |
$0.00 |
| 90734 |
|
95 |
67 |
$0.00 |
| 91300 |
|
573 |
202 |
$0.00 |
| 82948 |
|
35 |
26 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
204 |
178 |
$0.00 |
| 90756 |
|
30 |
22 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
186 |
141 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$0.00 |
| 90715 |
|
30 |
14 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
17 |
13 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
48 |
37 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |