| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
13,771 |
9,441 |
$1.72M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,239 |
4,830 |
$186K |
| 99215 |
Prolong outpt/office vis |
1,430 |
1,092 |
$98K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,532 |
2,018 |
$91K |
| D0999 |
Unspecified diagnostic procedure, by report |
330 |
293 |
$49K |
| 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 |
1,014 |
896 |
$27K |
| 90832 |
Psychotherapy, 30 minutes with patient |
545 |
300 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
378 |
331 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,537 |
1,361 |
$13K |
| 90837 |
Psychotherapy, 53 minutes with patient |
111 |
63 |
$9K |
| 87081 |
|
2,433 |
2,091 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
97 |
84 |
$6K |
| 90791 |
Psychiatric diagnostic evaluation |
38 |
38 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
76 |
50 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
153 |
141 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
515 |
433 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
52 |
46 |
$951.91 |
| 81001 |
|
89 |
79 |
$171.63 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
42 |
39 |
$150.19 |
| 80053 |
Comprehensive metabolic panel |
26 |
24 |
$124.18 |
| 80061 |
Lipid panel |
12 |
12 |
$112.50 |
| D0120 |
Periodic oral evaluation - established patient |
75 |
69 |
$78.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
54 |
50 |
$15.68 |
| 99442 |
|
203 |
195 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,909 |
1,652 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
115 |
106 |
$0.00 |
| D0602 |
|
85 |
85 |
$0.00 |