| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,854 |
9,688 |
$1.41M |
| T1015 |
Clinic visit/encounter, all-inclusive |
3,455 |
3,098 |
$636K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,555 |
3,255 |
$415K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
263 |
259 |
$47K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
152 |
151 |
$28K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
428 |
407 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
34 |
34 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,515 |
1,458 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
237 |
214 |
$5K |
| G9150 |
National committee for quality assurance - level 3 medical home |
24 |
18 |
$4K |
| 99173 |
|
422 |
416 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
180 |
161 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
31 |
30 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
49 |
41 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
59 |
58 |
$2K |
| 90686 |
|
481 |
465 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
212 |
200 |
$1K |
| 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 |
1,412 |
1,122 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$506.00 |
| 96158 |
|
128 |
113 |
$421.40 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
325 |
310 |
$253.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
17 |
16 |
$97.50 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
91 |
78 |
$66.32 |
| 81003 |
|
29 |
24 |
$18.45 |
| 90734 |
|
61 |
58 |
$0.00 |
| 3078F |
|
30 |
28 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
575 |
538 |
$0.00 |
| 90656 |
|
15 |
15 |
$0.00 |
| 3079F |
|
79 |
67 |
$0.00 |
| 3074F |
|
53 |
43 |
$0.00 |
| 94760 |
|
131 |
104 |
$0.00 |
| 90651 |
|
15 |
12 |
$0.00 |