| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
16,748 |
14,557 |
$3.21M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,739 |
6,211 |
$66K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,153 |
6,551 |
$52K |
| 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 |
1,020 |
1,002 |
$21K |
| 81002 |
|
648 |
620 |
$14K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,287 |
1,263 |
$13K |
| 81025 |
|
407 |
391 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,511 |
2,437 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
745 |
741 |
$4K |
| 80305 |
|
162 |
157 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
224 |
219 |
$2K |
| 87428 |
|
2,164 |
2,097 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
757 |
712 |
$1K |
| 3725F |
|
377 |
374 |
$1K |
| 90756 |
|
26 |
26 |
$1K |
| 96127 |
|
840 |
823 |
$918.87 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
40 |
39 |
$455.28 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
208 |
189 |
$367.87 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
121 |
117 |
$356.74 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
192 |
190 |
$306.57 |
| 99215 |
Prolong outpt/office vis |
41 |
40 |
$262.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
165 |
164 |
$224.89 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
12 |
12 |
$155.36 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
224 |
221 |
$151.84 |
| 90661 |
|
18 |
18 |
$62.10 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
154 |
151 |
$43.56 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
20 |
19 |
$13.68 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
213 |
210 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
63 |
63 |
$0.00 |
| 86756 |
|
12 |
12 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
110 |
106 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
37 |
37 |
$0.00 |
| 87807 |
|
25 |
24 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
81 |
80 |
$0.00 |
| 90694 |
|
22 |
22 |
$0.00 |