| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
25,432 |
22,315 |
$2.04M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,483 |
16,174 |
$595K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,717 |
7,408 |
$363K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,901 |
1,744 |
$53K |
| 90832 |
Psychotherapy, 30 minutes with patient |
877 |
475 |
$30K |
| 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 |
1,876 |
1,670 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
645 |
372 |
$16K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,592 |
2,372 |
$13K |
| 99442 |
|
1,165 |
623 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
329 |
177 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
252 |
132 |
$9K |
| Q3014 |
Telehealth originating site facility fee |
839 |
422 |
$9K |
| 99441 |
|
1,460 |
778 |
$9K |
| 90686 |
|
1,700 |
1,070 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
5,881 |
3,929 |
$8K |
| 99385 |
|
186 |
133 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
829 |
530 |
$5K |
| 82962 |
|
3,729 |
2,456 |
$4K |
| 99215 |
Prolong outpt/office vis |
83 |
63 |
$3K |
| 99386 |
|
104 |
77 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
106 |
59 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
674 |
382 |
$3K |
| 92551 |
|
784 |
449 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
70 |
38 |
$2K |
| 99381 |
|
64 |
39 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
49 |
27 |
$1K |
| 99188 |
|
141 |
82 |
$960.00 |
| 99173 |
|
747 |
432 |
$889.96 |
| 90670 |
|
339 |
207 |
$757.36 |
| 90674 |
|
23 |
13 |
$376.11 |
| 90688 |
|
43 |
25 |
$373.71 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
14 |
$202.12 |
| 81002 |
|
97 |
65 |
$84.57 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
182 |
111 |
$43.80 |
| 90680 |
|
143 |
85 |
$10.00 |
| 3079F |
|
4,541 |
2,604 |
$1.88 |
| 3078F |
|
5,513 |
3,112 |
$1.71 |
| 3074F |
|
5,837 |
3,248 |
$1.55 |
| 3077F |
|
1,816 |
1,048 |
$1.29 |
| 3075F |
|
2,430 |
1,398 |
$1.27 |
| 3080F |
|
753 |
409 |
$0.61 |
| 3044F |
|
42 |
26 |
$0.09 |
| 3008F |
|
1,190 |
678 |
$0.00 |
| 1125F |
|
442 |
215 |
$0.00 |
| 1126F |
|
360 |
181 |
$0.00 |
| 90697 |
|
20 |
12 |
$0.00 |
| 90677 |
|
50 |
27 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
366 |
348 |
$0.00 |
| 90671 |
|
26 |
15 |
$0.00 |
| 90661 |
|
73 |
69 |
$0.00 |
| 90710 |
|
21 |
12 |
$0.00 |
| 90633 |
|
48 |
24 |
$0.00 |