| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
17,010 |
12,599 |
$2.71M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,593 |
7,624 |
$417K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
818 |
706 |
$39K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
557 |
540 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
401 |
376 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
356 |
332 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
224 |
214 |
$10K |
| 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 |
61 |
56 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$620.18 |
| 0071A |
|
19 |
14 |
$560.00 |
| 0072A |
|
12 |
12 |
$480.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,196 |
2,097 |
$7.95 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,431 |
1,285 |
$6.96 |
| 92552 |
|
1,225 |
1,167 |
$0.52 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
537 |
477 |
$0.16 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
775 |
699 |
$0.13 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
983 |
948 |
$0.06 |
| 87428 |
|
486 |
456 |
$0.05 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
123 |
114 |
$0.02 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
13 |
$0.01 |
| 87807 |
|
23 |
13 |
$0.01 |
| 81003 |
|
17 |
12 |
$0.01 |
| 90686 |
|
664 |
629 |
$0.00 |
| 1220F |
|
3,399 |
2,821 |
$0.00 |
| 3008F |
|
9,368 |
7,181 |
$0.00 |
| 2001F |
|
9,009 |
7,002 |
$0.00 |
| 1000F |
|
410 |
340 |
$0.00 |
| 1036F |
|
1,057 |
919 |
$0.00 |
| 3037F |
|
1,260 |
1,083 |
$0.00 |
| 3351F |
|
661 |
572 |
$0.00 |
| 2010F |
|
7,663 |
6,117 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |
| 2000F |
|
2,130 |
1,846 |
$0.00 |
| 3074F |
|
397 |
349 |
$0.00 |
| 1126F |
|
2,496 |
2,224 |
$0.00 |
| 1031F |
|
402 |
327 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
392 |
368 |
$0.00 |
| 1170F |
|
502 |
439 |
$0.00 |
| 90656 |
|
65 |
65 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
138 |
128 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |
| 4010F |
|
16 |
12 |
$0.00 |
| 36416 |
|
27 |
27 |
$0.00 |
| 0001F |
|
15 |
12 |
$0.00 |
| 0501F |
|
21 |
15 |
$0.00 |
| 90723 |
|
39 |
39 |
$0.00 |
| 3079F |
|
43 |
37 |
$0.00 |
| 90480 |
|
35 |
35 |
$0.00 |
| 0240U |
|
45 |
31 |
$0.00 |
| 85018 |
|
12 |
12 |
$0.00 |
| 1159F |
|
9,559 |
7,372 |
$0.00 |
| 90670 |
|
213 |
209 |
$0.00 |
| 1160F |
|
9,147 |
7,018 |
$0.00 |
| 3028F |
|
2,661 |
2,376 |
$0.00 |
| 99173 |
|
1,267 |
1,197 |
$0.00 |
| 1033F |
|
662 |
571 |
$0.00 |
| 3078F |
|
304 |
262 |
$0.00 |
| 90648 |
|
117 |
113 |
$0.00 |
| 90473 |
|
27 |
27 |
$0.00 |
| 90671 |
|
44 |
41 |
$0.00 |
| 4013F |
|
26 |
24 |
$0.00 |
| 90633 |
|
14 |
13 |
$0.00 |
| 91321 |
|
12 |
12 |
$0.00 |
| 90681 |
|
27 |
27 |
$0.00 |