| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
86,019 |
55,705 |
$13.63M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,174 |
23,642 |
$588K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,645 |
10,104 |
$207K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,779 |
1,651 |
$48K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,464 |
2,281 |
$47K |
| 59425 |
|
436 |
290 |
$41K |
| 99401 |
|
3,154 |
2,425 |
$37K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
3,040 |
2,385 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,362 |
1,154 |
$29K |
| 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 |
572 |
459 |
$19K |
| 96156 |
|
1,402 |
1,277 |
$18K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,046 |
1,796 |
$17K |
| 81002 |
|
17,841 |
10,871 |
$16K |
| 81025 |
|
4,730 |
4,334 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,065 |
2,684 |
$7K |
| 88142 |
|
1,286 |
1,264 |
$6K |
| 59430 |
|
50 |
50 |
$4K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
380 |
294 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
61 |
59 |
$3K |
| 96158 |
|
165 |
159 |
$2K |
| 90686 |
|
474 |
441 |
$1K |
| 59025 |
Fetal non-stress test |
350 |
157 |
$1K |
| 90677 |
|
364 |
364 |
$945.00 |
| 97802 |
|
43 |
42 |
$900.51 |
| 90697 |
|
437 |
424 |
$873.00 |
| J3490 |
Unclassified drugs |
12 |
12 |
$850.92 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
50 |
50 |
$759.78 |
| 90680 |
|
759 |
714 |
$711.00 |
| 97803 |
|
29 |
25 |
$243.89 |
| 99381 |
|
47 |
46 |
$226.65 |
| 96150 |
|
13 |
13 |
$218.79 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
31 |
31 |
$132.75 |
| 96151 |
|
13 |
12 |
$109.33 |
| 87420 |
|
31 |
31 |
$90.52 |
| 87081 |
|
13 |
12 |
$73.84 |
| 3074F |
|
638 |
618 |
$0.00 |
| Z6410 |
|
2,056 |
1,591 |
$0.00 |
| Z6406 |
|
4,584 |
3,428 |
$0.00 |
| 90698 |
|
769 |
705 |
$0.00 |
| Z1032 |
|
486 |
485 |
$0.00 |
| Z6402 |
|
1,214 |
1,194 |
$0.00 |
| Z1034 |
|
10,063 |
6,876 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
40 |
40 |
$0.00 |
| Z6204 |
|
340 |
329 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
41 |
41 |
$0.00 |
| 3079F |
|
15 |
13 |
$0.00 |
| 90744 |
|
78 |
67 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
63 |
53 |
$0.00 |
| Z1038 |
|
13 |
13 |
$0.00 |
| Z6400 |
|
4,314 |
3,549 |
$0.00 |
| Z6300 |
|
1,172 |
1,152 |
$0.00 |
| 90670 |
|
1,439 |
1,272 |
$0.00 |
| Z6304 |
|
1,295 |
1,221 |
$0.00 |
| Z6202 |
|
33 |
27 |
$0.00 |
| 90710 |
|
96 |
66 |
$0.00 |
| 90633 |
|
269 |
218 |
$0.00 |
| 3078F |
|
524 |
506 |
$0.00 |
| Z6308 |
|
291 |
263 |
$0.00 |
| Z6200 |
|
367 |
360 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$0.00 |
| Z6414 |
|
44 |
42 |
$0.00 |
| 90648 |
|
18 |
12 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
100 |
99 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
29 |
29 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$0.00 |