| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
65,282 |
44,908 |
$7.55M |
| H2020 |
Therapeutic behavioral services, per diem |
2,309 |
1,531 |
$243K |
| 90677 |
|
74 |
65 |
$577.32 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,094 |
9,753 |
$322.30 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,827 |
20,516 |
$127.45 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,187 |
1,770 |
$127.30 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,314 |
1,087 |
$70.88 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,915 |
3,123 |
$63.91 |
| 92283 |
|
2,564 |
2,051 |
$31.99 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,470 |
8,461 |
$29.40 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
980 |
673 |
$20.00 |
| 90474 |
|
881 |
738 |
$9.13 |
| 92551 |
|
2,622 |
2,108 |
$8.27 |
| 99173 |
|
2,766 |
2,236 |
$2.00 |
| 90686 |
|
1,410 |
1,207 |
$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 |
2,001 |
1,576 |
$0.00 |
| 99386 |
|
39 |
26 |
$0.00 |
| 90688 |
|
661 |
544 |
$0.00 |
| 90651 |
|
16 |
13 |
$0.00 |
| 99381 |
|
26 |
25 |
$0.00 |
| 97032 |
|
898 |
190 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
501 |
363 |
$0.00 |
| 99385 |
|
50 |
41 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
86 |
58 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
148 |
123 |
$0.00 |
| 90657 |
|
23 |
16 |
$0.00 |
| 87807 |
|
279 |
245 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
84 |
54 |
$0.00 |
| 90697 |
|
13 |
13 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
637 |
506 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,287 |
1,863 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,236 |
7,268 |
$0.00 |
| 99177 |
|
1,165 |
945 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,065 |
940 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
726 |
598 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
136 |
133 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
134 |
118 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,474 |
1,008 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
294 |
251 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,079 |
244 |
$0.00 |
| 90662 |
|
81 |
63 |
$0.00 |
| 90670 |
|
86 |
84 |
$0.00 |
| 99442 |
|
61 |
44 |
$0.00 |
| 90715 |
|
261 |
193 |
$0.00 |
| 90756 |
|
223 |
193 |
$0.00 |
| 97161 |
|
38 |
26 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
114 |
97 |
$0.00 |
| 90750 |
|
255 |
228 |
$0.00 |
| 81003 |
|
74 |
36 |
$0.00 |
| 90682 |
|
207 |
192 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
429 |
208 |
$0.00 |
| 90672 |
|
41 |
36 |
$0.00 |
| 81025 |
|
153 |
93 |
$0.00 |
| 90658 |
|
365 |
316 |
$0.00 |
| 90671 |
|
14 |
12 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
27 |
13 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
15 |
$0.00 |