| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
16,867 |
13,352 |
$3.82M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,395 |
8,115 |
$294K |
| 90837 |
Psychotherapy, 53 minutes with patient |
913 |
689 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,109 |
1,050 |
$47K |
| 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 |
952 |
899 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
522 |
512 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
405 |
395 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
359 |
351 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
492 |
480 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
305 |
296 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,502 |
1,456 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
457 |
420 |
$8K |
| 90832 |
Psychotherapy, 30 minutes with patient |
117 |
102 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
912 |
819 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,469 |
1,436 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
80 |
79 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
511 |
480 |
$3K |
| 90686 |
|
853 |
831 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
62 |
55 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
523 |
519 |
$2K |
| 81025 |
|
741 |
686 |
$2K |
| 90461 |
|
1,186 |
1,045 |
$1K |
| 81003 |
|
1,263 |
950 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
58 |
57 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
29 |
29 |
$768.09 |
| 87807 |
|
112 |
110 |
$605.00 |
| 90620 |
|
42 |
41 |
$577.25 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
774 |
740 |
$336.48 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
313 |
291 |
$265.64 |
| 90656 |
|
58 |
58 |
$262.05 |
| 90715 |
|
82 |
81 |
$250.26 |
| 90619 |
|
12 |
12 |
$159.60 |
| 90670 |
|
222 |
222 |
$118.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$65.84 |
| 90651 |
|
169 |
167 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
50 |
50 |
$0.00 |
| 90677 |
|
15 |
14 |
$0.00 |
| 90734 |
|
103 |
98 |
$0.00 |
| 90633 |
|
27 |
26 |
$0.00 |
| 90710 |
|
14 |
14 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |