| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
851 |
715 |
$140K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,292 |
1,233 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
226 |
207 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
283 |
271 |
$4K |
| 0012A |
|
144 |
144 |
$4K |
| 0011A |
|
105 |
105 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
87 |
84 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
71 |
67 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
654 |
619 |
$659.02 |
| 90686 |
|
87 |
84 |
$614.43 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
14 |
$425.50 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
51 |
31 |
$345.35 |
| 99441 |
|
25 |
24 |
$0.00 |
| 99000 |
|
48 |
48 |
$0.00 |
| 91301 |
|
243 |
236 |
$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 |
14 |
13 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
32 |
32 |
$0.00 |
| 99442 |
|
17 |
17 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
36 |
28 |
$0.00 |