| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
51,644 |
40,388 |
$4.97M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,881 |
15,039 |
$157K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,636 |
20,227 |
$80K |
| 87428 |
|
651 |
607 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,466 |
1,355 |
$11K |
| 96127 |
|
5,818 |
4,330 |
$8K |
| 99188 |
|
869 |
781 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,340 |
4,617 |
$6K |
| 3074F |
|
17,230 |
14,289 |
$5K |
| 3078F |
|
15,036 |
12,512 |
$5K |
| 92551 |
|
1,987 |
1,805 |
$5K |
| 1160F |
|
20,417 |
16,144 |
$2K |
| 0071A |
|
56 |
47 |
$2K |
| 90686 |
|
3,099 |
2,779 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
253 |
224 |
$1K |
| 90480 |
|
101 |
96 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,187 |
1,087 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
523 |
487 |
$1K |
| 90461 |
|
1,048 |
948 |
$991.67 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
25 |
18 |
$953.04 |
| 3079F |
|
2,828 |
2,408 |
$899.98 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
125 |
108 |
$885.10 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
23 |
22 |
$807.20 |
| 0072A |
|
23 |
23 |
$800.00 |
| 99177 |
|
118 |
101 |
$601.78 |
| 3725F |
|
5,239 |
4,192 |
$490.39 |
| 0124A |
|
12 |
12 |
$480.00 |
| 1036F |
|
10,512 |
8,403 |
$379.58 |
| 3008F |
|
23,188 |
18,763 |
$350.08 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
944 |
852 |
$329.85 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
93 |
79 |
$280.20 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
268 |
232 |
$192.09 |
| 3075F |
|
714 |
639 |
$150.41 |
| 98925 |
|
15 |
12 |
$132.03 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
177 |
162 |
$124.14 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
36 |
33 |
$118.42 |
| 36415 |
Collection of venous blood by venipuncture |
864 |
726 |
$86.34 |
| 81002 |
|
79 |
70 |
$84.51 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
12 |
$65.66 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
180 |
135 |
$57.60 |
| 96160 |
|
172 |
149 |
$36.40 |
| 99000 |
|
1,170 |
1,073 |
$35.96 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
91 |
77 |
$35.66 |
| 3077F |
|
512 |
426 |
$0.28 |
| 3080F |
|
321 |
287 |
$0.19 |
| 90656 |
|
238 |
231 |
$0.00 |
| 1125F |
|
83 |
55 |
$0.00 |
| 1126F |
|
288 |
192 |
$0.00 |
| 91307 |
|
155 |
123 |
$0.00 |
| 36416 |
|
75 |
65 |
$0.00 |
| 90723 |
|
28 |
25 |
$0.00 |
| 90648 |
|
105 |
89 |
$0.00 |
| 90670 |
|
101 |
94 |
$0.00 |
| 90633 |
|
15 |
12 |
$0.00 |
| 90685 |
|
84 |
79 |
$0.00 |
| 91322 |
|
15 |
15 |
$0.00 |
| 91300 |
|
20 |
13 |
$0.00 |
| 91312 |
|
12 |
12 |
$0.00 |