| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,685 |
4,349 |
$624K |
| T1015 |
Clinic visit/encounter, all-inclusive |
8,757 |
6,519 |
$403K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,924 |
1,806 |
$241K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
329 |
312 |
$44K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
281 |
272 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
158 |
158 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
103 |
102 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
74 |
74 |
$13K |
| 90834 |
Psychotherapy, 45 minutes with patient |
95 |
75 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
338 |
332 |
$11K |
| 87428 |
|
178 |
176 |
$11K |
| 90832 |
Psychotherapy, 30 minutes with patient |
74 |
69 |
$9K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
194 |
189 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
75 |
73 |
$4K |
| 0012A |
|
100 |
86 |
$4K |
| 96160 |
|
414 |
404 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
368 |
352 |
$2K |
| 0011A |
|
70 |
61 |
$2K |
| 92551 |
|
546 |
537 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
25 |
25 |
$1K |
| 87430 |
|
434 |
417 |
$1K |
| 0064A |
|
16 |
16 |
$640.00 |
| 90688 |
|
48 |
48 |
$492.48 |
| 96127 |
|
300 |
283 |
$211.87 |
| 97802 |
|
27 |
27 |
$210.21 |
| 99188 |
|
166 |
164 |
$182.46 |
| 90756 |
|
14 |
14 |
$112.08 |
| 81025 |
|
28 |
26 |
$88.68 |
| 81005 |
|
64 |
59 |
$28.38 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
84 |
83 |
$8.42 |
| 99173 |
|
317 |
308 |
$5.72 |
| 85018 |
|
14 |
14 |
$2.65 |
| G9153 |
Mapcp demonstration - physician incentive pool |
233 |
233 |
$0.00 |
| 91301 |
|
198 |
179 |
$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 |
154 |
66 |
$0.00 |
| 90686 |
|
80 |
73 |
$0.00 |
| 90651 |
|
22 |
22 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
17 |
15 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
18 |
16 |
$0.00 |
| 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 |
14 |
14 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
91 |
89 |
$0.00 |
| 80061 |
Lipid panel |
41 |
41 |
$0.00 |
| 90461 |
|
66 |
66 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
32 |
32 |
$0.00 |
| 90734 |
|
17 |
17 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |