| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
20,069 |
16,778 |
$3.35M |
| 87428 |
|
1,299 |
1,094 |
$67K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,208 |
1,067 |
$59K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
736 |
608 |
$33K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
713 |
649 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
528 |
419 |
$23K |
| 90670 |
|
544 |
465 |
$5K |
| 90686 |
|
300 |
286 |
$3K |
| 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 |
221 |
164 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
60 |
48 |
$3K |
| 90697 |
|
119 |
107 |
$1K |
| 90677 |
|
121 |
107 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
440 |
373 |
$1K |
| 90633 |
|
135 |
116 |
$1K |
| 90723 |
|
138 |
120 |
$1K |
| 90647 |
|
85 |
81 |
$765.94 |
| 0001A |
|
13 |
12 |
$740.00 |
| 90656 |
|
76 |
69 |
$506.68 |
| 90680 |
|
28 |
26 |
$341.64 |
| 90648 |
|
34 |
29 |
$225.78 |
| 90734 |
|
16 |
14 |
$160.08 |
| 90681 |
|
13 |
12 |
$144.54 |
| 90655 |
|
14 |
12 |
$114.72 |
| 90651 |
|
14 |
12 |
$105.16 |
| 90715 |
|
14 |
13 |
$95.60 |
| 36415 |
Collection of venous blood by venipuncture |
430 |
378 |
$75.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
33 |
31 |
$56.04 |
| 87430 |
|
209 |
196 |
$26.22 |
| 81003 |
|
40 |
39 |
$1.35 |
| 1000F |
|
32 |
27 |
$0.01 |
| 87807 |
|
145 |
133 |
$0.00 |
| 3074F |
|
360 |
320 |
$0.00 |
| 3079F |
|
172 |
149 |
$0.00 |
| 1034F |
|
41 |
37 |
$0.00 |
| 85018 |
|
45 |
41 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
12 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
54 |
53 |
$0.00 |
| 3075F |
|
16 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
696 |
659 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
840 |
786 |
$0.00 |
| 3077F |
|
66 |
55 |
$0.00 |
| 1159F |
|
308 |
256 |
$0.00 |
| 3078F |
|
252 |
229 |
$0.00 |
| 81002 |
|
88 |
81 |
$0.00 |
| 83655 |
|
23 |
20 |
$0.00 |