| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
19,034 |
15,987 |
$3.67M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,759 |
7,107 |
$347K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,735 |
2,510 |
$159K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,253 |
2,057 |
$70K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
858 |
829 |
$59K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
959 |
938 |
$58K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
532 |
502 |
$53K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
449 |
436 |
$36K |
| 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 |
891 |
852 |
$31K |
| 90832 |
Psychotherapy, 30 minutes with patient |
344 |
262 |
$19K |
| 87428 |
|
259 |
236 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
49 |
41 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
736 |
339 |
$3K |
| 99381 |
|
13 |
13 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
448 |
379 |
$2K |
| 90686 |
|
1,675 |
1,601 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,355 |
3,204 |
$841.02 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
621 |
593 |
$781.02 |
| 0013A |
|
50 |
46 |
$600.00 |
| 90461 |
|
86 |
68 |
$423.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
70 |
63 |
$388.92 |
| 97803 |
|
106 |
95 |
$293.28 |
| 90656 |
|
169 |
168 |
$279.52 |
| 90677 |
|
83 |
75 |
$271.95 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,862 |
1,003 |
$265.66 |
| 97802 |
|
66 |
63 |
$234.62 |
| 0124A |
|
12 |
12 |
$200.00 |
| 0011A |
|
15 |
12 |
$175.52 |
| 81025 |
|
81 |
76 |
$159.06 |
| 81002 |
|
95 |
90 |
$140.16 |
| 90480 |
|
13 |
12 |
$120.00 |
| 90688 |
|
177 |
171 |
$91.91 |
| 90670 |
|
265 |
255 |
$17.86 |
| 90648 |
|
227 |
217 |
$0.00 |
| 90633 |
|
40 |
40 |
$0.00 |
| 90715 |
|
15 |
14 |
$0.00 |
| 90671 |
|
68 |
67 |
$0.00 |
| 91312 |
|
12 |
12 |
$0.00 |
| 90734 |
|
13 |
12 |
$0.00 |
| 91300 |
|
26 |
26 |
$0.00 |
| 90723 |
|
76 |
70 |
$0.00 |
| 99606 |
|
179 |
148 |
$0.00 |
| 91301 |
|
122 |
89 |
$0.00 |
| 90651 |
|
32 |
28 |
$0.00 |
| 90698 |
|
25 |
24 |
$0.00 |
| 91305 |
|
43 |
42 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 92551 |
|
15 |
15 |
$0.00 |
| 90619 |
|
17 |
12 |
$0.00 |