| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
38,990 |
29,806 |
$6.16M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38,010 |
20,209 |
$170K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,782 |
2,866 |
$45K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,880 |
1,143 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,633 |
1,765 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,986 |
2,944 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,799 |
1,113 |
$27K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,025 |
1,230 |
$25K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,553 |
3,719 |
$23K |
| 0001A |
|
473 |
248 |
$21K |
| 92551 |
|
6,080 |
3,737 |
$19K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,765 |
1,048 |
$18K |
| 0011A |
|
370 |
194 |
$16K |
| 0012A |
|
334 |
175 |
$15K |
| Z1034 |
|
3,918 |
2,430 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
644 |
407 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,315 |
1,014 |
$9K |
| 0002A |
|
183 |
96 |
$8K |
| 0004A |
|
128 |
65 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,182 |
689 |
$6K |
| 99173 |
|
5,711 |
3,385 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
608 |
366 |
$4K |
| 59425 |
|
388 |
227 |
$4K |
| Z1032 |
|
242 |
241 |
$2K |
| 81000 |
|
2,681 |
1,232 |
$2K |
| 99000 |
|
4,531 |
2,880 |
$2K |
| 90686 |
|
1,151 |
857 |
$2K |
| 59514 |
|
15 |
15 |
$2K |
| 90670 |
|
863 |
723 |
$1K |
| 99384 |
|
89 |
62 |
$1K |
| 90656 |
|
948 |
681 |
$1K |
| 0072A |
|
88 |
50 |
$1K |
| 90633 |
|
754 |
537 |
$1K |
| J3490 |
Unclassified drugs |
48 |
38 |
$1K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
35 |
25 |
$960.00 |
| 90651 |
|
589 |
430 |
$906.13 |
| 90671 |
|
491 |
331 |
$836.46 |
| 90698 |
|
612 |
489 |
$773.73 |
| 99383 |
|
68 |
38 |
$686.14 |
| 90680 |
|
536 |
444 |
$665.91 |
| 90688 |
|
561 |
499 |
$600.50 |
| 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 |
17 |
12 |
$558.18 |
| 99382 |
|
38 |
27 |
$492.23 |
| 90461 |
|
1,497 |
1,203 |
$429.18 |
| 90700 |
|
492 |
365 |
$424.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
130 |
105 |
$420.16 |
| 90715 |
|
176 |
119 |
$416.15 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
660 |
540 |
$319.80 |
| 81025 |
|
287 |
202 |
$317.92 |
| 90716 |
|
489 |
343 |
$242.73 |
| 90672 |
|
187 |
127 |
$216.00 |
| 90707 |
|
423 |
290 |
$215.82 |
| 90744 |
|
474 |
363 |
$206.91 |
| 90734 |
|
388 |
294 |
$197.64 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,374 |
974 |
$179.50 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
369 |
271 |
$141.82 |
| 90621 |
|
216 |
166 |
$107.37 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
44 |
40 |
$92.51 |
| 90713 |
|
209 |
160 |
$90.00 |
| 81002 |
|
712 |
347 |
$72.22 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
65 |
37 |
$68.90 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
18 |
12 |
$52.14 |
| 99381 |
|
32 |
29 |
$43.41 |
| 96156 |
|
31 |
31 |
$42.05 |
| 85018 |
|
50 |
28 |
$33.11 |
| 99442 |
|
129 |
68 |
$18.67 |
| 90648 |
|
114 |
94 |
$18.00 |
| 99441 |
|
71 |
38 |
$10.26 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
233 |
154 |
$6.08 |
| Z6402 |
|
14 |
13 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
24 |
12 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
23 |
12 |
$0.00 |
| Z6410 |
|
153 |
112 |
$0.00 |
| Z1038 |
|
14 |
12 |
$0.00 |
| 99447 |
|
29 |
15 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
24 |
12 |
$0.00 |
| 96127 |
|
24 |
15 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
200 |
134 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
56 |
39 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
498 |
384 |
$0.00 |
| 90661 |
|
22 |
14 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
27 |
15 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
35 |
19 |
$0.00 |
| 0071A |
|
59 |
38 |
$0.00 |
| Z6300 |
|
14 |
13 |
$0.00 |
| Z6400 |
|
16 |
15 |
$0.00 |
| 90685 |
|
42 |
34 |
$0.00 |