| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
11,083 |
9,292 |
$350K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,348 |
4,833 |
$278K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,480 |
5,027 |
$231K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,410 |
911 |
$94K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
416 |
341 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,286 |
1,016 |
$34K |
| 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 |
1,762 |
1,265 |
$31K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,681 |
1,355 |
$14K |
| 90832 |
Psychotherapy, 30 minutes with patient |
281 |
184 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
4,303 |
3,430 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
772 |
602 |
$7K |
| 99215 |
Prolong outpt/office vis |
65 |
62 |
$7K |
| 99490 |
Ccm add 20min |
690 |
558 |
$3K |
| 87428 |
|
89 |
76 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
794 |
664 |
$3K |
| 90686 |
|
454 |
354 |
$2K |
| 90674 |
|
129 |
117 |
$2K |
| 90670 |
|
37 |
29 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
19 |
14 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
48 |
43 |
$960.46 |
| 80305 |
|
76 |
65 |
$376.00 |
| 81003 |
|
311 |
238 |
$297.68 |
| 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 |
239 |
154 |
$167.97 |
| 81025 |
|
14 |
12 |
$90.42 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$33.30 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
27 |
16 |
$11.44 |
| G0008 |
Administration of influenza virus vaccine |
135 |
101 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
290 |
228 |
$0.00 |