| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,263 |
11,385 |
$1.46M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,127 |
12,528 |
$920K |
| T1015 |
Clinic visit/encounter, all-inclusive |
34,060 |
17,284 |
$774K |
| 99215 |
Prolong outpt/office vis |
742 |
421 |
$80K |
| 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 |
3,169 |
2,473 |
$76K |
| 59425 |
|
663 |
327 |
$46K |
| 59426 |
|
553 |
199 |
$42K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
95 |
66 |
$11K |
| 90686 |
|
635 |
438 |
$6K |
| 90791 |
Psychiatric diagnostic evaluation |
53 |
44 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
555 |
400 |
$4K |
| 80305 |
|
790 |
606 |
$4K |
| 99459 |
|
239 |
203 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
516 |
370 |
$3K |
| 76830 |
Ultrasound, transvaginal |
25 |
12 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
45 |
39 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
107 |
43 |
$2K |
| 0013A |
|
59 |
45 |
$855.83 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
241 |
185 |
$705.31 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$637.08 |
| 0012A |
|
31 |
28 |
$632.57 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
17 |
15 |
$570.12 |
| 90832 |
Psychotherapy, 30 minutes with patient |
91 |
75 |
$398.41 |
| 87590 |
|
31 |
13 |
$376.32 |
| 87490 |
|
31 |
13 |
$364.00 |
| 90656 |
|
29 |
27 |
$346.78 |
| 0011A |
|
13 |
13 |
$297.68 |
| 81025 |
|
17 |
12 |
$111.93 |
| 81002 |
|
34 |
25 |
$95.53 |
| 86580 |
|
18 |
16 |
$69.63 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
76 |
27 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
77 |
56 |
$0.00 |
| J2315 |
Injection, naltrexone, depot form, 1 mg |
17 |
12 |
$0.00 |