| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
27,336 |
23,146 |
$1.59M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,236 |
8,580 |
$77K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,642 |
9,576 |
$59K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,066 |
1,065 |
$11K |
| 90686 |
|
1,006 |
1,005 |
$9K |
| 99215 |
Prolong outpt/office vis |
387 |
373 |
$8K |
| 90837 |
Psychotherapy, 53 minutes with patient |
435 |
302 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
682 |
677 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,553 |
1,547 |
$3K |
| 80305 |
|
1,619 |
1,366 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
117 |
114 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
956 |
947 |
$2K |
| 87428 |
|
243 |
240 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
144 |
144 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
826 |
753 |
$1K |
| 90671 |
|
60 |
60 |
$1K |
| 98966 |
|
130 |
113 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
143 |
141 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
80 |
80 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
111 |
103 |
$947.97 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
126 |
124 |
$834.41 |
| Q3014 |
Telehealth originating site facility fee |
223 |
199 |
$813.59 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
95 |
94 |
$591.37 |
| 98967 |
|
33 |
29 |
$554.28 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
81 |
81 |
$532.78 |
| 96127 |
|
740 |
536 |
$474.75 |
| 90656 |
|
54 |
54 |
$436.95 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
316 |
316 |
$418.08 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
117 |
115 |
$272.82 |
| 90715 |
|
14 |
14 |
$271.25 |
| 81003 |
|
590 |
564 |
$167.25 |
| 90834 |
Psychotherapy, 45 minutes with patient |
168 |
140 |
$147.58 |
| 87807 |
|
54 |
53 |
$86.80 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
20 |
14 |
$82.26 |
| 81025 |
|
106 |
104 |
$57.04 |
| 99406 |
|
12 |
12 |
$25.56 |
| 36416 |
|
604 |
589 |
$14.12 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
13 |
$11.20 |
| 90461 |
|
139 |
139 |
$0.00 |
| 91300 |
|
17 |
17 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
14 |
12 |
$0.00 |