| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
16,986 |
14,266 |
$2.27M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,317 |
6,549 |
$318K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,432 |
2,283 |
$113K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,258 |
1,242 |
$87K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,112 |
1,100 |
$81K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
966 |
941 |
$74K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
903 |
882 |
$73K |
| 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 |
996 |
910 |
$33K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,069 |
2,269 |
$30K |
| 90834 |
Psychotherapy, 45 minutes with patient |
446 |
265 |
$28K |
| 87428 |
|
961 |
898 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
603 |
566 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,804 |
1,690 |
$12K |
| 90461 |
|
1,003 |
843 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
262 |
259 |
$3K |
| CP002 |
|
262 |
248 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
315 |
293 |
$2K |
| 81003 |
|
803 |
682 |
$1K |
| 90686 |
|
984 |
954 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
14 |
12 |
$751.08 |
| 90670 |
|
683 |
672 |
$589.71 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
807 |
787 |
$567.59 |
| 0001A |
|
51 |
49 |
$412.68 |
| 87807 |
|
81 |
78 |
$308.00 |
| 0002A |
|
13 |
13 |
$267.12 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
18 |
17 |
$164.70 |
| 90715 |
|
43 |
43 |
$156.05 |
| 90734 |
|
154 |
147 |
$94.07 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
440 |
318 |
$61.79 |
| 90656 |
|
50 |
48 |
$17.47 |
| 90698 |
|
273 |
265 |
$0.00 |
| 91301 |
|
25 |
25 |
$0.00 |
| 90651 |
|
237 |
232 |
$0.00 |
| 3074F |
|
229 |
210 |
$0.00 |
| 90677 |
|
84 |
83 |
$0.00 |
| 90744 |
|
54 |
52 |
$0.00 |
| 3079F |
|
49 |
47 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 92551 |
|
86 |
86 |
$0.00 |
| 96127 |
|
55 |
47 |
$0.00 |
| 90474 |
|
15 |
14 |
$0.00 |
| 90696 |
|
17 |
17 |
$0.00 |
| 90648 |
|
132 |
130 |
$0.00 |
| 90710 |
|
249 |
246 |
$0.00 |
| 90633 |
|
295 |
286 |
$0.00 |
| 99173 |
|
142 |
136 |
$0.00 |
| 3078F |
|
157 |
143 |
$0.00 |
| 90681 |
|
89 |
87 |
$0.00 |
| 90700 |
|
13 |
12 |
$0.00 |