| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
14,028 |
12,160 |
$2.17M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,187 |
5,733 |
$219K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,169 |
2,052 |
$104K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
399 |
387 |
$29K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
325 |
321 |
$21K |
| 90832 |
Psychotherapy, 30 minutes with patient |
399 |
286 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
239 |
215 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
187 |
180 |
$15K |
| 99000 |
|
1,835 |
1,698 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
150 |
145 |
$4K |
| 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 |
121 |
113 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
805 |
731 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
106 |
105 |
$2K |
| 0012A |
|
64 |
63 |
$2K |
| 0011A |
|
65 |
64 |
$2K |
| 90686 |
|
1,468 |
1,440 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,893 |
2,816 |
$915.93 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,161 |
1,215 |
$364.16 |
| 92551 |
|
572 |
547 |
$220.54 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
32 |
$200.64 |
| 81002 |
|
47 |
43 |
$75.92 |
| 3078F |
|
349 |
305 |
$0.00 |
| 99173 |
|
704 |
677 |
$0.00 |
| 3725F |
|
192 |
170 |
$0.00 |
| 90670 |
|
169 |
167 |
$0.00 |
| 90648 |
|
51 |
51 |
$0.00 |
| 90734 |
|
26 |
26 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 96160 |
|
35 |
34 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,133 |
1,067 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 3008F |
|
372 |
317 |
$0.00 |
| 96127 |
|
123 |
119 |
$0.00 |
| 3074F |
|
367 |
323 |
$0.00 |
| 91301 |
|
140 |
135 |
$0.00 |
| 90651 |
|
27 |
25 |
$0.00 |
| 1126F |
|
30 |
28 |
$0.00 |
| 1036F |
|
162 |
146 |
$0.00 |
| 36416 |
|
40 |
37 |
$0.00 |
| 87428 |
|
16 |
16 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 3079F |
|
13 |
13 |
$0.00 |