| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,862 |
4,916 |
$1.35M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,279 |
3,375 |
$147K |
| 99233 |
Prolong inpt eval add15 m |
4,247 |
1,553 |
$94K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
7,162 |
1,376 |
$77K |
| 99223 |
Prolong inpt eval add15 m |
1,721 |
1,650 |
$60K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,500 |
1,420 |
$28K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,231 |
1,160 |
$20K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,085 |
688 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
136 |
124 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27 |
27 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
25 |
$2K |
| 86403 |
|
256 |
246 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,183 |
1,110 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
23 |
$909.59 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
14 |
$849.76 |
| 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 |
21 |
17 |
$567.00 |
| 0071A |
|
25 |
17 |
$280.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
86 |
83 |
$208.35 |
| 92551 |
|
420 |
402 |
$87.54 |
| 90461 |
|
71 |
60 |
$60.39 |
| 90686 |
|
343 |
336 |
$17.93 |
| 91307 |
|
20 |
12 |
$0.00 |
| 90656 |
|
17 |
17 |
$0.00 |