| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
29,408 |
22,992 |
$4.10M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,837 |
11,528 |
$129K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,803 |
6,135 |
$56K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,748 |
1,596 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,569 |
1,267 |
$27K |
| D9999 |
Unspecified adjunctive procedure, by report |
106 |
91 |
$20K |
| 90686 |
|
1,084 |
996 |
$19K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,485 |
1,103 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
278 |
178 |
$6K |
| 96127 |
|
421 |
383 |
$5K |
| 90715 |
|
90 |
84 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
172 |
162 |
$3K |
| 90632 |
|
44 |
39 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
44 |
24 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
437 |
188 |
$833.05 |
| 90791 |
Psychiatric diagnostic evaluation |
28 |
26 |
$604.38 |
| 80305 |
|
86 |
45 |
$237.63 |
| 0064A |
|
12 |
12 |
$160.00 |
| 90656 |
|
55 |
54 |
$156.45 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
116 |
107 |
$64.26 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
125 |
114 |
$62.48 |
| 0072A |
|
47 |
47 |
$40.00 |
| 0071A |
|
53 |
45 |
$40.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
15 |
12 |
$39.70 |
| 81002 |
|
26 |
24 |
$16.45 |
| 3074F |
|
2,807 |
2,590 |
$0.00 |
| 3008F |
|
4,420 |
4,057 |
$0.00 |
| 1036F |
|
2,063 |
1,858 |
$0.00 |
| 3079F |
|
439 |
420 |
$0.00 |
| 3075F |
|
279 |
272 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
18 |
13 |
$0.00 |
| 1034F |
|
334 |
290 |
$0.00 |
| 87428 |
|
293 |
274 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
272 |
254 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
328 |
153 |
$0.00 |
| 1035F |
|
17 |
16 |
$0.00 |
| 3080F |
|
40 |
39 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
30 |
28 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
89 |
87 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 92551 |
|
16 |
16 |
$0.00 |
| 99406 |
|
20 |
20 |
$0.00 |
| 3725F |
|
1,437 |
1,380 |
$0.00 |
| 1160F |
|
4,319 |
3,843 |
$0.00 |
| 3077F |
|
202 |
183 |
$0.00 |
| 3078F |
|
2,857 |
2,636 |
$0.00 |
| 1159F |
|
3,995 |
3,557 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
46 |
46 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
29 |
28 |
$0.00 |