| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
13,984 |
12,242 |
$2.35M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,555 |
5,059 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,062 |
996 |
$1K |
| 0502F |
|
57 |
36 |
$270.00 |
| 92551 |
|
175 |
174 |
$173.44 |
| 99173 |
|
172 |
171 |
$106.14 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
106 |
103 |
$0.00 |
| 80305 |
|
322 |
274 |
$0.00 |
| 90670 |
|
25 |
25 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
73 |
73 |
$0.00 |
| 3015F |
|
119 |
114 |
$0.00 |
| 3078F |
|
253 |
223 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
84 |
78 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
141 |
138 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$0.00 |
| 90461 |
|
45 |
45 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
41 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$0.00 |
| 4004F |
|
17 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,198 |
1,096 |
$0.00 |
| 1036F |
|
986 |
924 |
$0.00 |
| 3079F |
|
174 |
158 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
215 |
214 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
150 |
136 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
119 |
117 |
$0.00 |
| 3074F |
|
381 |
338 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
159 |
147 |
$0.00 |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
43 |
41 |
$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 |
17 |
15 |
$0.00 |
| 87430 |
|
161 |
151 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
28 |
26 |
$0.00 |
| 90474 |
|
13 |
13 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 90698 |
|
26 |
26 |
$0.00 |
| 87428 |
|
32 |
28 |
$0.00 |
| 90686 |
|
15 |
15 |
$0.00 |