| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
61,300 |
47,750 |
$10.28M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,001 |
29,364 |
$1.18M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,247 |
6,069 |
$428K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,155 |
6,020 |
$281K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,841 |
2,763 |
$155K |
| 99381 |
|
907 |
885 |
$140K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,056 |
1,937 |
$106K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
647 |
633 |
$96K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,306 |
1,167 |
$82K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,275 |
1,227 |
$56K |
| 59430 |
|
796 |
692 |
$53K |
| 99000 |
|
18,573 |
16,401 |
$35K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
345 |
328 |
$26K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
9,021 |
7,481 |
$25K |
| 90832 |
Psychotherapy, 30 minutes with patient |
349 |
235 |
$24K |
| 99385 |
|
124 |
124 |
$22K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
33 |
26 |
$17K |
| 81002 |
|
16,162 |
11,649 |
$12K |
| 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 |
388 |
368 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
377 |
363 |
$7K |
| 90715 |
|
1,223 |
1,198 |
$7K |
| 81025 |
|
4,321 |
4,031 |
$5K |
| 90686 |
|
8,147 |
8,004 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
529 |
510 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16,576 |
16,037 |
$3K |
| 90619 |
|
83 |
83 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
582 |
527 |
$2K |
| 99383 |
|
27 |
26 |
$2K |
| 0012A |
|
40 |
40 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
296 |
287 |
$1K |
| 99382 |
|
12 |
12 |
$1K |
| 90651 |
|
495 |
481 |
$1K |
| 92551 |
|
3,549 |
3,441 |
$747.19 |
| 0011A |
|
57 |
56 |
$725.04 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16,410 |
8,433 |
$521.57 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
94 |
91 |
$458.70 |
| 11981 |
|
17 |
13 |
$391.32 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
42 |
42 |
$116.94 |
| 90707 |
|
147 |
144 |
$88.20 |
| 90474 |
|
1,809 |
1,710 |
$31.36 |
| 90656 |
|
309 |
305 |
$28.00 |
| 96160 |
|
381 |
342 |
$20.07 |
| 90620 |
|
12 |
12 |
$0.06 |
| 90710 |
|
935 |
920 |
$0.00 |
| 90670 |
|
4,413 |
4,306 |
$0.00 |
| 99173 |
|
4,125 |
4,029 |
$0.00 |
| 90633 |
|
2,494 |
2,439 |
$0.00 |
| 90700 |
|
826 |
820 |
$0.00 |
| 90648 |
|
778 |
769 |
$0.00 |
| 90734 |
|
186 |
183 |
$0.00 |
| 3725F |
|
250 |
235 |
$0.00 |
| 90473 |
|
127 |
124 |
$0.00 |
| 3078F |
|
671 |
581 |
$0.00 |
| 90461 |
|
53 |
46 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
15 |
$0.00 |
| 90698 |
|
3,295 |
3,193 |
$0.00 |
| 96161 |
|
92 |
85 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
8,102 |
7,420 |
$0.00 |
| 36416 |
|
5,014 |
4,508 |
$0.00 |
| 90744 |
|
1,989 |
1,922 |
$0.00 |
| 90680 |
|
3,297 |
3,195 |
$0.00 |
| 90677 |
|
668 |
627 |
$0.00 |
| 96127 |
|
279 |
249 |
$0.00 |
| 90716 |
|
192 |
190 |
$0.00 |
| 90381 |
|
30 |
30 |
$0.00 |
| 90696 |
|
296 |
294 |
$0.00 |
| 90697 |
|
72 |
70 |
$0.00 |
| 1036F |
|
187 |
167 |
$0.00 |
| 91301 |
|
120 |
113 |
$0.00 |
| 1126F |
|
525 |
457 |
$0.00 |
| 87428 |
|
160 |
134 |
$0.00 |
| 90723 |
|
14 |
14 |
$0.00 |
| 1125F |
|
60 |
52 |
$0.00 |
| 3074F |
|
685 |
593 |
$0.00 |
| 3008F |
|
811 |
694 |
$0.00 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
13 |
12 |
$0.00 |