| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
32,464 |
23,960 |
$9.25M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,735 |
8,322 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,207 |
7,125 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
128 |
93 |
$272.16 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,225 |
1,134 |
$200.97 |
| 0012A |
|
31 |
31 |
$120.10 |
| 0011A |
|
23 |
22 |
$120.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
55 |
30 |
$105.56 |
| 96150 |
|
567 |
389 |
$76.03 |
| 96151 |
|
329 |
242 |
$18.36 |
| 99173 |
|
803 |
738 |
$5.35 |
| 90686 |
|
383 |
334 |
$0.38 |
| 99215 |
Prolong outpt/office vis |
67 |
57 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
224 |
200 |
$0.00 |
| 3078F |
|
2,191 |
2,003 |
$0.00 |
| 3077F |
|
415 |
381 |
$0.00 |
| 96158 |
|
305 |
286 |
$0.00 |
| 97803 |
|
91 |
89 |
$0.00 |
| 81003 |
|
222 |
211 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
418 |
399 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
145 |
136 |
$0.00 |
| 90715 |
|
16 |
12 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
312 |
299 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
688 |
638 |
$0.00 |
| 1159F |
|
2,861 |
2,548 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
576 |
555 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
243 |
235 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
331 |
307 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
165 |
159 |
$0.00 |
| 96167 |
|
24 |
23 |
$0.00 |
| 83655 |
|
13 |
12 |
$0.00 |
| 96156 |
|
1,441 |
1,325 |
$0.00 |
| 2001F |
|
3,489 |
3,133 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
545 |
472 |
$0.00 |
| 92551 |
|
701 |
638 |
$0.00 |
| 1036F |
|
2,556 |
2,264 |
$0.00 |
| 90480 |
|
14 |
12 |
$0.00 |
| 1034F |
|
223 |
187 |
$0.00 |
| 3079F |
|
811 |
769 |
$0.00 |
| 36416 |
|
108 |
100 |
$0.00 |
| 3008F |
|
3,564 |
3,196 |
$0.00 |
| 1125F |
|
795 |
726 |
$0.00 |
| 97802 |
|
466 |
383 |
$0.00 |
| 3075F |
|
396 |
385 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
133 |
130 |
$0.00 |
| 3074F |
|
2,372 |
2,170 |
$0.00 |
| 1126F |
|
1,265 |
1,199 |
$0.00 |
| 1111F |
|
140 |
140 |
$0.00 |
| 90656 |
|
83 |
79 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
67 |
52 |
$0.00 |
| 99000 |
|
329 |
315 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
139 |
135 |
$0.00 |
| 3080F |
|
131 |
118 |
$0.00 |
| 85018 |
|
29 |
28 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
47 |
34 |
$0.00 |
| 91301 |
|
61 |
60 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
50 |
44 |
$0.00 |
| 0064A |
|
13 |
13 |
$0.00 |
| 87428 |
|
118 |
83 |
$0.00 |
| 0134A |
|
12 |
12 |
$0.00 |
| 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 |
16 |
12 |
$0.00 |