| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
10,826 |
6,519 |
$830K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,126 |
3,628 |
$74K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,727 |
4,581 |
$42K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
608 |
410 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
732 |
579 |
$14K |
| 99051 |
|
1,028 |
816 |
$9K |
| G9919 |
Screening performed and positive and provision of recommendations |
608 |
317 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,725 |
683 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
277 |
181 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
948 |
628 |
$2K |
| 99050 |
|
163 |
124 |
$1K |
| 99384 |
|
40 |
29 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
129 |
80 |
$933.91 |
| 36415 |
Collection of venous blood by venipuncture |
2,125 |
1,516 |
$802.29 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
155 |
115 |
$529.62 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
137 |
89 |
$382.36 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
49 |
26 |
$280.65 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
403 |
239 |
$202.50 |
| 90686 |
|
14 |
12 |
$123.18 |
| 3044F |
|
384 |
288 |
$110.00 |
| 81002 |
|
93 |
55 |
$49.09 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
280 |
126 |
$10.30 |
| 3077F |
|
443 |
342 |
$0.00 |
| 1159F |
|
6,793 |
4,587 |
$0.00 |
| U0001 |
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
341 |
153 |
$0.00 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
215 |
156 |
$0.00 |
| 3078F |
|
3,712 |
2,756 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
836 |
652 |
$0.00 |
| 1160F |
|
6,770 |
4,579 |
$0.00 |
| 3050F |
|
108 |
75 |
$0.00 |
| 96160 |
|
149 |
117 |
$0.00 |
| 1036F |
|
649 |
470 |
$0.00 |
| 3048F |
|
166 |
129 |
$0.00 |
| 1034F |
|
303 |
210 |
$0.00 |
| 4000F |
|
237 |
173 |
$0.00 |
| 3075F |
|
649 |
510 |
$0.00 |
| 3074F |
|
3,762 |
2,780 |
$0.00 |
| 4010F |
|
227 |
157 |
$0.00 |
| 3079F |
|
971 |
766 |
$0.00 |
| 3008F |
|
7,429 |
4,941 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
198 |
156 |
$0.00 |
| 3353F |
|
105 |
76 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
81 |
58 |
$0.00 |
| 90620 |
|
30 |
24 |
$0.00 |
| 3049F |
|
170 |
129 |
$0.00 |
| 3014F |
|
16 |
12 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
18 |
12 |
$0.00 |
| 3080F |
|
65 |
51 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
84 |
53 |
$0.00 |