| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
9,207 |
7,431 |
$1.37M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,678 |
4,126 |
$117K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,313 |
2,140 |
$47K |
| 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 |
1,051 |
951 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
510 |
473 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
254 |
191 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
127 |
118 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
106 |
104 |
$5K |
| 99000 |
|
441 |
408 |
$3K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
28 |
24 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42 |
40 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
28 |
28 |
$1K |
| 90837 |
Psychotherapy, 53 minutes with patient |
33 |
25 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
62 |
59 |
$1K |
| 99384 |
|
32 |
20 |
$730.43 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
244 |
220 |
$417.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
32 |
31 |
$241.67 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
12 |
$132.21 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
244 |
229 |
$102.66 |
| 93000 |
|
12 |
12 |
$92.50 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
15 |
14 |
$56.76 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
300 |
275 |
$9.92 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$5.20 |
| 92551 |
|
242 |
234 |
$1.47 |
| 90633 |
|
24 |
24 |
$0.00 |
| 90734 |
|
67 |
67 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
275 |
171 |
$0.00 |
| 99173 |
|
177 |
173 |
$0.00 |
| 86328 |
|
12 |
12 |
$0.00 |
| 90715 |
|
46 |
46 |
$0.00 |
| 91300 |
|
16 |
13 |
$0.00 |
| 90670 |
|
16 |
15 |
$0.00 |
| 90686 |
|
32 |
32 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$0.00 |
| 91301 |
|
42 |
42 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
279 |
271 |
$0.00 |