| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
115,993 |
103,778 |
$16.98M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46,694 |
38,497 |
$72K |
| 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 |
2,405 |
2,222 |
$60K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,553 |
10,245 |
$29K |
| 0012A |
|
359 |
359 |
$24K |
| 0011A |
|
355 |
354 |
$21K |
| 0001A |
|
197 |
197 |
$13K |
| 0002A |
|
178 |
178 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,552 |
8,185 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,792 |
2,560 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,149 |
1,053 |
$7K |
| 0064A |
|
224 |
221 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,393 |
2,189 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,868 |
1,739 |
$5K |
| 90739 |
|
322 |
285 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
789 |
700 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,273 |
1,179 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,551 |
1,449 |
$3K |
| 0004A |
|
43 |
43 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
854 |
729 |
$2K |
| 90686 |
|
2,764 |
2,530 |
$2K |
| 90688 |
|
335 |
296 |
$2K |
| 92250 |
|
126 |
126 |
$2K |
| 90750 |
|
125 |
107 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
543 |
481 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,749 |
1,276 |
$2K |
| 90677 |
|
649 |
631 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
791 |
757 |
$1K |
| 0072A |
|
15 |
15 |
$1K |
| 0071A |
|
12 |
12 |
$804.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,767 |
9,417 |
$779.73 |
| 90633 |
|
1,100 |
1,014 |
$740.07 |
| 90698 |
|
858 |
781 |
$684.00 |
| 83655 |
|
818 |
773 |
$660.06 |
| 3079F |
|
770 |
743 |
$437.45 |
| 99383 |
|
432 |
421 |
$410.81 |
| 3078F |
|
2,095 |
2,000 |
$384.63 |
| 90651 |
|
1,031 |
981 |
$307.89 |
| 99384 |
|
272 |
261 |
$281.12 |
| 90707 |
|
809 |
739 |
$271.97 |
| 90734 |
|
718 |
675 |
$263.54 |
| 90700 |
|
264 |
254 |
$255.36 |
| 90834 |
Psychotherapy, 45 minutes with patient |
92 |
67 |
$179.28 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
205 |
189 |
$156.78 |
| 99188 |
|
632 |
601 |
$156.46 |
| 3074F |
|
2,517 |
2,420 |
$145.50 |
| 90715 |
|
264 |
246 |
$134.22 |
| 85018 |
|
1,003 |
954 |
$132.87 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,984 |
4,923 |
$91.98 |
| 90670 |
|
1,331 |
1,223 |
$81.00 |
| 90744 |
|
565 |
518 |
$81.00 |
| 90648 |
|
897 |
868 |
$63.00 |
| 90716 |
|
893 |
825 |
$63.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
94 |
91 |
$58.80 |
| 99381 |
|
170 |
169 |
$45.33 |
| 90723 |
|
570 |
555 |
$36.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
70 |
65 |
$34.95 |
| 86580 |
|
29 |
28 |
$29.16 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
635 |
624 |
$26.46 |
| 81002 |
|
1,062 |
950 |
$25.80 |
| 82962 |
|
955 |
854 |
$21.00 |
| 81025 |
|
308 |
295 |
$13.05 |
| 90680 |
|
750 |
704 |
$9.00 |
| 90620 |
|
77 |
74 |
$9.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
277 |
270 |
$0.15 |
| 90713 |
|
13 |
13 |
$0.00 |
| 99382 |
|
148 |
147 |
$0.00 |
| 91300 |
|
12 |
12 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
121 |
120 |
$0.00 |
| 90681 |
|
167 |
159 |
$0.00 |
| 99173 |
|
277 |
271 |
$0.00 |
| 3077F |
|
167 |
158 |
$0.00 |
| 3046F |
|
17 |
15 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
12 |
12 |
$0.00 |
| 90658 |
|
113 |
110 |
$0.00 |
| 90473 |
|
34 |
34 |
$0.00 |
| 92552 |
|
86 |
82 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
77 |
54 |
$0.00 |
| 90746 |
|
32 |
32 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
192 |
183 |
$0.00 |
| 91306 |
|
120 |
118 |
$0.00 |
| 92551 |
|
159 |
157 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
415 |
382 |
$0.00 |
| 90474 |
|
137 |
132 |
$0.00 |
| 90732 |
|
13 |
12 |
$0.00 |
| 3044F |
|
40 |
33 |
$0.00 |
| 90656 |
|
284 |
278 |
$0.00 |
| 3075F |
|
220 |
216 |
$0.00 |
| 87807 |
|
77 |
76 |
$0.00 |
| 91301 |
|
55 |
55 |
$0.00 |
| 3080F |
|
18 |
18 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
14 |
$0.00 |
| 99385 |
|
12 |
12 |
$0.00 |
| 90696 |
|
56 |
52 |
$0.00 |