| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,325 |
3,486 |
$388K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,197 |
5,266 |
$341K |
| T1015 |
Clinic visit/encounter, all-inclusive |
11,489 |
6,499 |
$57K |
| 99215 |
Prolong outpt/office vis |
327 |
209 |
$37K |
| 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 |
440 |
327 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
536 |
485 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
232 |
200 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
111 |
73 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
479 |
261 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
31 |
25 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
23 |
12 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
130 |
59 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
12 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
60 |
25 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
31 |
31 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
104 |
91 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
22 |
13 |
$1K |
| 98960 |
|
118 |
81 |
$869.81 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
73 |
36 |
$763.61 |
| 90832 |
Psychotherapy, 30 minutes with patient |
19 |
12 |
$645.90 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
38 |
30 |
$470.51 |
| 90688 |
|
19 |
16 |
$252.93 |
| 90686 |
|
56 |
51 |
$212.75 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
23 |
13 |
$201.77 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$86.00 |
| 36416 |
|
23 |
12 |
$45.98 |
| 96127 |
|
12 |
12 |
$36.03 |
| 1159F |
|
3,945 |
1,988 |
$0.00 |
| 3078F |
|
147 |
69 |
$0.00 |
| 1160F |
|
459 |
241 |
$0.00 |
| 3008F |
|
717 |
349 |
$0.00 |
| 3074F |
|
185 |
86 |
$0.00 |