| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
23,156 |
18,541 |
$1.70M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,960 |
18,038 |
$289K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,108 |
7,379 |
$117K |
| 92552 |
|
1,094 |
690 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
440 |
310 |
$12K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
156 |
148 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
311 |
227 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
263 |
192 |
$8K |
| 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 |
1,232 |
1,232 |
$8K |
| 90686 |
|
505 |
371 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
238 |
234 |
$4K |
| 85018 |
|
2,179 |
1,575 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
111 |
74 |
$3K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
178 |
97 |
$3K |
| 99173 |
|
748 |
546 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
17 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
23 |
12 |
$2K |
| 90688 |
|
82 |
82 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
43 |
41 |
$1K |
| 90715 |
|
75 |
64 |
$1K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
278 |
174 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
39 |
20 |
$926.10 |
| 90734 |
|
45 |
45 |
$801.93 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
32 |
27 |
$728.56 |
| 81002 |
|
322 |
274 |
$587.19 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
51 |
51 |
$506.50 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
52 |
26 |
$392.45 |
| 90648 |
|
29 |
24 |
$337.50 |
| 90619 |
|
32 |
16 |
$288.00 |
| 90716 |
|
18 |
18 |
$243.00 |
| 90707 |
|
15 |
15 |
$202.50 |
| 90696 |
|
13 |
13 |
$175.50 |
| 81025 |
|
68 |
41 |
$115.62 |
| 90651 |
|
17 |
12 |
$90.00 |
| 1160F |
|
5,200 |
4,365 |
$0.03 |
| 1159F |
|
4,492 |
3,840 |
$0.03 |
| 3075F |
|
700 |
457 |
$0.00 |
| 3008F |
|
3,453 |
3,138 |
$0.00 |
| 3079F |
|
1,081 |
712 |
$0.00 |
| 3080F |
|
96 |
73 |
$0.00 |
| 3074F |
|
6,134 |
3,628 |
$0.00 |
| 3725F |
|
23 |
23 |
$0.00 |
| 99442 |
|
168 |
143 |
$0.00 |
| 3077F |
|
576 |
340 |
$0.00 |
| 3078F |
|
6,084 |
3,589 |
$0.00 |