| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
34,132 |
28,031 |
$5.03M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,621 |
18,625 |
$180K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
5,667 |
4,513 |
$65K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,293 |
2,909 |
$59K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,747 |
779 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,000 |
3,700 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,599 |
2,422 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
908 |
827 |
$14K |
| 90837 |
Psychotherapy, 53 minutes with patient |
448 |
285 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
702 |
626 |
$8K |
| 81003 |
|
334 |
304 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
443 |
410 |
$7K |
| 90686 |
|
160 |
150 |
$3K |
| 87807 |
|
61 |
53 |
$2K |
| 81025 |
|
81 |
80 |
$2K |
| V2020 |
Frames, purchases |
25 |
25 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
16 |
12 |
$944.12 |
| 92015 |
Determination of refractive state |
43 |
39 |
$903.30 |
| 87428 |
|
3,121 |
2,877 |
$561.95 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$443.22 |
| 71046 |
Radiologic examination, chest; 2 views |
28 |
26 |
$339.88 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
39 |
38 |
$184.96 |
| 0071A |
|
38 |
30 |
$160.00 |
| 0072A |
|
25 |
23 |
$120.00 |
| 87430 |
|
1,129 |
1,045 |
$98.37 |
| 87420 |
|
73 |
65 |
$4.31 |
| 96127 |
|
167 |
159 |
$2.95 |
| 90834 |
Psychotherapy, 45 minutes with patient |
85 |
51 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
36 |
31 |
$0.00 |
| 92551 |
|
197 |
189 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$0.00 |
| 90620 |
|
14 |
14 |
$0.00 |
| 99173 |
|
168 |
163 |
$0.00 |
| 87400 |
|
26 |
12 |
$0.00 |
| 99188 |
|
15 |
15 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
24 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
28 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |