| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
32,936 |
23,568 |
$4.97M |
| 99199 |
Unlisted special service, procedure or report |
80,619 |
35,353 |
$412K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,622 |
4,168 |
$127K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,692 |
1,363 |
$64K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
407 |
272 |
$28K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,060 |
596 |
$24K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,195 |
451 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
268 |
137 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
136 |
83 |
$9K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
69 |
47 |
$6K |
| 80305 |
|
492 |
262 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
281 |
250 |
$4K |
| 85018 |
|
1,594 |
1,120 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
381 |
287 |
$3K |
| 92551 |
|
522 |
437 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
53 |
29 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
453 |
281 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
85 |
68 |
$1K |
| 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 |
35 |
26 |
$664.80 |
| 36415 |
Collection of venous blood by venipuncture |
198 |
166 |
$432.19 |
| 90698 |
|
47 |
26 |
$188.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
81 |
41 |
$115.00 |
| 86308 |
|
14 |
14 |
$92.12 |
| 85027 |
|
23 |
14 |
$90.53 |
| 99173 |
|
277 |
223 |
$23.00 |
| 90461 |
|
79 |
43 |
$15.40 |
| 3078F |
|
247 |
224 |
$0.00 |
| 90670 |
|
49 |
27 |
$0.00 |
| 3074F |
|
316 |
285 |
$0.00 |
| 3079F |
|
50 |
47 |
$0.00 |
| 90686 |
|
27 |
12 |
$0.00 |