| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,967 |
2,408 |
$267K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,895 |
2,044 |
$73K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,223 |
697 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
509 |
330 |
$20K |
| 99406 |
|
490 |
245 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
503 |
389 |
$2K |
| 99188 |
|
47 |
44 |
$1K |
| 92587 |
|
71 |
43 |
$865.03 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
43 |
27 |
$765.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
15 |
$750.88 |
| 90686 |
|
95 |
54 |
$747.83 |
| 36415 |
Collection of venous blood by venipuncture |
189 |
124 |
$668.72 |
| 82962 |
|
643 |
404 |
$665.15 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
56 |
35 |
$461.36 |
| 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 |
19 |
16 |
$411.74 |
| 92015 |
Determination of refractive state |
47 |
25 |
$388.17 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
14 |
$374.22 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
43 |
26 |
$302.54 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18 |
12 |
$210.97 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18 |
12 |
$210.80 |
| 80305 |
|
32 |
16 |
$171.70 |
| 96127 |
|
20 |
20 |
$67.49 |
| 81002 |
|
39 |
19 |
$41.50 |
| 86703 |
|
13 |
13 |
$30.84 |
| 3044F |
|
259 |
165 |
$20.00 |
| 99173 |
|
12 |
12 |
$12.00 |
| 3074F |
|
1,348 |
740 |
$0.01 |
| 3078F |
|
947 |
506 |
$0.01 |
| 1036F |
|
1,455 |
906 |
$0.00 |
| 3079F |
|
363 |
229 |
$0.00 |
| 3008F |
|
593 |
347 |
$0.00 |
| 1034F |
|
724 |
358 |
$0.00 |
| 3075F |
|
70 |
53 |
$0.00 |
| 0792T |
|
16 |
14 |
$0.00 |
| 4004F |
|
587 |
290 |
$0.00 |
| 99408 |
|
19 |
12 |
$0.00 |
| 96160 |
|
69 |
52 |
$0.00 |