| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
64,025 |
46,619 |
$12.06M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,414 |
21,160 |
$561K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,327 |
2,983 |
$160K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,363 |
3,769 |
$69K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,217 |
764 |
$55K |
| 94760 |
|
9,124 |
8,031 |
$49K |
| 99215 |
Prolong outpt/office vis |
496 |
451 |
$36K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,255 |
2,046 |
$32K |
| 90832 |
Psychotherapy, 30 minutes with patient |
418 |
248 |
$24K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
295 |
282 |
$15K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
367 |
352 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
904 |
897 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
81 |
80 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
996 |
947 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
69 |
69 |
$6K |
| G9920 |
Screening performed and negative |
198 |
197 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
127 |
127 |
$5K |
| 90756 |
|
174 |
173 |
$5K |
| 90837 |
Psychotherapy, 53 minutes with patient |
194 |
109 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
26 |
26 |
$4K |
| 96127 |
|
770 |
747 |
$4K |
| 90686 |
|
314 |
310 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
81 |
76 |
$3K |
| 82274 |
|
142 |
142 |
$2K |
| 81003 |
|
1,005 |
899 |
$2K |
| 90688 |
|
107 |
106 |
$2K |
| 92551 |
|
184 |
180 |
$1K |
| 99173 |
|
1,758 |
1,745 |
$1K |
| 90674 |
|
52 |
52 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
19 |
19 |
$1K |
| 97802 |
|
165 |
165 |
$921.19 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,076 |
587 |
$719.32 |
| 90480 |
|
33 |
33 |
$660.00 |
| 90651 |
|
13 |
13 |
$645.30 |
| 91320 |
|
13 |
13 |
$625.00 |
| 90715 |
|
13 |
13 |
$594.84 |
| 90734 |
|
13 |
13 |
$574.56 |
| 90656 |
|
148 |
148 |
$508.26 |
| 90661 |
|
72 |
72 |
$500.00 |
| 36416 |
|
298 |
288 |
$405.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$391.61 |
| 85018 |
|
169 |
165 |
$354.78 |
| 87210 |
|
90 |
90 |
$336.60 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
37 |
37 |
$321.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$216.59 |
| 82962 |
|
90 |
84 |
$195.30 |
| 59425 |
|
16 |
12 |
$112.36 |
| 97803 |
|
12 |
12 |
$27.42 |
| 92552 |
|
45 |
45 |
$24.36 |
| 3725F |
|
89 |
86 |
$18.00 |
| 81000 |
|
12 |
12 |
$10.84 |
| 91307 |
|
38 |
36 |
$0.00 |
| 99384 |
|
13 |
13 |
$0.00 |
| 99383 |
|
17 |
17 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
172 |
153 |
$0.00 |
| 96160 |
|
60 |
60 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26 |
24 |
$0.00 |
| 90461 |
|
22 |
20 |
$0.00 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
18 |
16 |
$0.00 |
| 90658 |
|
12 |
12 |
$0.00 |