| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,133 |
3,765 |
$1.32M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,668 |
2,348 |
$92K |
| 90834 |
Psychotherapy, 45 minutes with patient |
693 |
472 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
88 |
84 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
62 |
60 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
78 |
72 |
$776.28 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$718.30 |
| 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 |
14 |
13 |
$464.80 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
50 |
50 |
$389.20 |
| CP002 |
|
15 |
12 |
$145.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
13 |
$138.90 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
12 |
$24.42 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
69 |
63 |
$7.84 |
| 99173 |
|
30 |
25 |
$0.00 |
| 92587 |
|
75 |
67 |
$0.00 |
| 90686 |
|
30 |
29 |
$0.00 |