| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,274 |
17,061 |
$924K |
| T1015 |
Clinic visit/encounter, all-inclusive |
14,143 |
11,124 |
$292K |
| 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 |
4,633 |
3,411 |
$105K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,466 |
1,910 |
$102K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,928 |
1,541 |
$52K |
| 96156 |
|
1,431 |
955 |
$23K |
| 96158 |
|
571 |
360 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
219 |
165 |
$11K |
| 90832 |
Psychotherapy, 30 minutes with patient |
354 |
219 |
$11K |
| 80305 |
|
924 |
682 |
$10K |
| 96152 |
|
338 |
175 |
$10K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,357 |
1,209 |
$6K |
| 96150 |
|
158 |
94 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
59 |
53 |
$5K |
| 0012A |
|
150 |
132 |
$4K |
| 90686 |
|
436 |
377 |
$4K |
| 0011A |
|
171 |
143 |
$3K |
| 90674 |
|
145 |
94 |
$2K |
| 0064A |
|
68 |
54 |
$2K |
| 96151 |
|
55 |
31 |
$2K |
| 99215 |
Prolong outpt/office vis |
59 |
38 |
$1K |
| 90688 |
|
138 |
123 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
21 |
19 |
$1K |
| 0031A |
|
27 |
26 |
$826.99 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
12 |
$772.94 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
56 |
45 |
$566.28 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
73 |
58 |
$512.00 |
| 96159 |
|
21 |
12 |
$371.80 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
27 |
15 |
$369.92 |
| 0124A |
|
18 |
12 |
$332.10 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$288.00 |
| 90656 |
|
22 |
21 |
$215.13 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
194 |
147 |
$205.24 |
| 81002 |
|
39 |
36 |
$110.52 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
112 |
107 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
26 |
25 |
$0.00 |
| 87428 |
|
28 |
25 |
$0.00 |