| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
49,654 |
38,394 |
$13.05M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43,531 |
31,249 |
$99K |
| 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 |
1,664 |
1,291 |
$94K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,893 |
6,842 |
$8K |
| 90832 |
Psychotherapy, 30 minutes with patient |
889 |
650 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,669 |
2,120 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
83 |
68 |
$2K |
| 0064A |
|
71 |
47 |
$2K |
| 59425 |
|
241 |
146 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,799 |
1,473 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,602 |
1,320 |
$805.54 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
201 |
153 |
$599.39 |
| 0012A |
|
46 |
34 |
$575.00 |
| 81025 |
|
1,711 |
1,494 |
$486.61 |
| 92552 |
|
1,821 |
1,498 |
$415.30 |
| 90686 |
|
2,913 |
2,436 |
$393.53 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,554 |
1,292 |
$347.98 |
| 0011A |
|
44 |
32 |
$321.00 |
| 81002 |
|
233 |
206 |
$153.36 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
722 |
664 |
$102.62 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,968 |
1,620 |
$100.73 |
| 90670 |
|
367 |
312 |
$85.05 |
| 90834 |
Psychotherapy, 45 minutes with patient |
54 |
34 |
$67.16 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,662 |
2,266 |
$50.70 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
332 |
283 |
$34.34 |
| 90688 |
|
232 |
224 |
$22.08 |
| 81003 |
|
944 |
798 |
$19.33 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,234 |
957 |
$17.84 |
| 85018 |
|
1,239 |
1,062 |
$15.43 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
15 |
14 |
$5.50 |
| 3008F |
|
4,154 |
3,850 |
$0.00 |
| 91301 |
|
103 |
91 |
$0.00 |
| 90680 |
|
72 |
63 |
$0.00 |
| 99443 |
|
178 |
157 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
177 |
172 |
$0.00 |
| 86580 |
|
456 |
376 |
$0.00 |
| 3074F |
|
746 |
710 |
$0.00 |
| G9964 |
Patient received at least one well-child visit with a pcp during the performance period |
139 |
138 |
$0.00 |
| Z1034 |
|
297 |
175 |
$0.00 |
| 3044F |
|
59 |
59 |
$0.00 |
| 3079F |
|
137 |
136 |
$0.00 |
| 90716 |
|
155 |
128 |
$0.00 |
| 3075F |
|
92 |
90 |
$0.00 |
| 90723 |
|
73 |
63 |
$0.00 |
| 90656 |
|
288 |
244 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
109 |
84 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
20 |
14 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
192 |
115 |
$0.00 |
| 90647 |
|
136 |
122 |
$0.00 |
| 90677 |
|
100 |
75 |
$0.00 |
| 90696 |
|
17 |
12 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
38 |
26 |
$0.00 |
| 90651 |
|
39 |
29 |
$0.00 |
| 90732 |
|
14 |
13 |
$0.00 |
| 90674 |
|
16 |
16 |
$0.00 |
| 1159F |
|
8,643 |
6,818 |
$0.00 |
| 1160F |
|
8,470 |
6,690 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
328 |
257 |
$0.00 |
| 90734 |
|
322 |
270 |
$0.00 |
| 3078F |
|
1,059 |
996 |
$0.00 |
| 3077F |
|
109 |
104 |
$0.00 |
| 90715 |
|
458 |
385 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
25 |
$0.00 |
| 90633 |
|
77 |
68 |
$0.00 |
| 90707 |
|
150 |
113 |
$0.00 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
211 |
192 |
$0.00 |
| 90685 |
|
14 |
14 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
55 |
38 |
$0.00 |
| 90658 |
|
45 |
45 |
$0.00 |
| Z7500 |
|
12 |
12 |
$0.00 |
| 99442 |
|
23 |
22 |
$0.00 |