| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
15,260 |
12,286 |
$966K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,421 |
7,540 |
$480K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,775 |
3,586 |
$311K |
| 87428 |
|
781 |
743 |
$46K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
115 |
113 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
155 |
144 |
$4K |
| 99490 |
Ccm add 20min |
658 |
575 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
446 |
431 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,111 |
1,078 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
59 |
54 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$1K |
| 90682 |
|
24 |
24 |
$955.77 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
72 |
70 |
$680.16 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
98 |
95 |
$640.76 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
77 |
72 |
$508.45 |
| 97802 |
|
366 |
355 |
$464.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
26 |
$346.36 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
336 |
319 |
$340.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
65 |
63 |
$317.42 |
| 80061 |
Lipid panel |
26 |
26 |
$258.01 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
74 |
66 |
$254.61 |
| 87807 |
|
19 |
19 |
$203.43 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
27 |
27 |
$178.72 |
| 81001 |
|
25 |
25 |
$72.70 |
| 3074F |
|
42 |
40 |
$0.25 |
| 3078F |
|
41 |
38 |
$0.24 |
| 1159F |
|
323 |
296 |
$0.04 |
| 3077F |
|
12 |
12 |
$0.01 |
| G2181 |
Bmi not documented due to medical reason or patient refusal of height or weight measurement |
13 |
12 |
$0.00 |
| 90651 |
|
12 |
12 |
$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 |
75 |
71 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
91 |
83 |
$0.00 |
| 1160F |
|
307 |
284 |
$0.00 |