| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
29,279 |
25,059 |
$2.09M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,767 |
11,494 |
$417K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,490 |
4,831 |
$278K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,594 |
7,759 |
$222K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,964 |
2,920 |
$143K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,812 |
2,222 |
$97K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,505 |
1,418 |
$69K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
908 |
487 |
$29K |
| 90837 |
Psychotherapy, 53 minutes with patient |
627 |
358 |
$21K |
| 92551 |
|
6,594 |
3,791 |
$20K |
| 90832 |
Psychotherapy, 30 minutes with patient |
737 |
332 |
$16K |
| 99442 |
|
1,023 |
541 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
6,709 |
4,009 |
$9K |
| 99381 |
|
296 |
185 |
$8K |
| 90686 |
|
5,233 |
3,223 |
$8K |
| 99173 |
|
6,785 |
3,889 |
$7K |
| 90791 |
Psychiatric diagnostic evaluation |
210 |
129 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,932 |
1,131 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
835 |
479 |
$6K |
| 99383 |
|
176 |
112 |
$6K |
| 99441 |
|
944 |
513 |
$6K |
| 99385 |
|
193 |
97 |
$5K |
| Q3014 |
Telehealth originating site facility fee |
431 |
228 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
448 |
300 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
803 |
458 |
$3K |
| 99382 |
|
87 |
77 |
$3K |
| 85018 |
|
1,711 |
1,041 |
$2K |
| 99386 |
|
47 |
26 |
$2K |
| 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 |
64 |
60 |
$2K |
| 82962 |
|
1,239 |
777 |
$1K |
| 99188 |
|
363 |
221 |
$821.55 |
| D1208 |
Topical application of fluoride, excluding varnish |
107 |
73 |
$750.00 |
| 0012A |
|
14 |
14 |
$554.52 |
| 90710 |
|
1,306 |
775 |
$264.31 |
| 90670 |
|
3,228 |
1,980 |
$257.99 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
48 |
39 |
$174.74 |
| 81002 |
|
165 |
107 |
$162.22 |
| 83655 |
|
159 |
89 |
$99.98 |
| 90723 |
|
2,408 |
1,465 |
$92.34 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
27 |
12 |
$91.45 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
13 |
$88.07 |
| 90687 |
|
52 |
36 |
$9.95 |
| 3074F |
|
4,823 |
2,505 |
$0.96 |
| 3078F |
|
4,539 |
2,376 |
$0.89 |
| 3079F |
|
1,834 |
960 |
$0.43 |
| 3008F |
|
2,947 |
1,606 |
$0.38 |
| 91307 |
|
28 |
26 |
$0.22 |
| 3075F |
|
744 |
392 |
$0.20 |
| 91301 |
|
32 |
31 |
$0.14 |
| 3044F |
|
106 |
52 |
$0.08 |
| 3077F |
|
491 |
264 |
$0.03 |
| 90681 |
|
880 |
536 |
$0.00 |
| 90734 |
|
148 |
92 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
787 |
767 |
$0.00 |
| 90633 |
|
1,778 |
1,099 |
$0.00 |
| 90700 |
|
58 |
40 |
$0.00 |
| 90671 |
|
147 |
75 |
$0.00 |
| 90685 |
|
141 |
134 |
$0.00 |
| 90715 |
|
36 |
24 |
$0.00 |
| 90647 |
|
2,575 |
1,563 |
$0.00 |
| 3080F |
|
92 |
58 |
$0.00 |
| 90651 |
|
244 |
146 |
$0.00 |
| 90696 |
|
133 |
80 |
$0.00 |
| 90677 |
|
116 |
76 |
$0.00 |
| 90620 |
|
37 |
27 |
$0.00 |
| 90697 |
|
37 |
28 |
$0.00 |
| 90716 |
|
23 |
13 |
$0.00 |
| 90656 |
|
98 |
92 |
$0.00 |