| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
70,547 |
49,328 |
$5.79M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47,435 |
34,787 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
523 |
370 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,508 |
8,964 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
183 |
175 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
51 |
26 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
18 |
17 |
$0.00 |
| 99441 |
|
23 |
12 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
336 |
244 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
881 |
579 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,051 |
1,592 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
168 |
151 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
406 |
340 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
479 |
423 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
216 |
118 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
116 |
94 |
$0.00 |
| 0502F |
|
160 |
91 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$0.00 |
| 99442 |
|
160 |
65 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
27 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
149 |
91 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
17 |
$0.00 |