| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
8,251 |
6,319 |
$703K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,259 |
2,004 |
$63K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,711 |
1,060 |
$50K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
802 |
535 |
$30K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,287 |
431 |
$30K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,538 |
944 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
651 |
374 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
869 |
472 |
$11K |
| 90715 |
|
768 |
518 |
$8K |
| 90746 |
|
194 |
145 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
589 |
401 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
864 |
584 |
$5K |
| 91320 |
|
59 |
58 |
$4K |
| 90480 |
|
199 |
168 |
$4K |
| 90716 |
|
130 |
114 |
$3K |
| 90677 |
|
24 |
24 |
$2K |
| 91322 |
|
42 |
34 |
$2K |
| 99205 |
Prolong outpt/office vis |
39 |
24 |
$2K |
| Q3014 |
Telehealth originating site facility fee |
378 |
188 |
$2K |
| 90686 |
|
315 |
185 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
80 |
57 |
$992.75 |
| 90713 |
|
991 |
667 |
$988.09 |
| 90656 |
|
93 |
92 |
$963.04 |
| 91321 |
|
13 |
13 |
$875.52 |
| 99441 |
|
143 |
78 |
$799.45 |
| 99442 |
|
74 |
40 |
$756.91 |
| 99422 |
|
71 |
31 |
$554.86 |
| 36415 |
Collection of venous blood by venipuncture |
346 |
246 |
$262.23 |
| 99341 |
|
36 |
18 |
$236.08 |
| 90633 |
|
62 |
39 |
$148.50 |
| 99421 |
|
32 |
15 |
$108.51 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
29 |
17 |
$72.80 |
| 90461 |
|
163 |
63 |
$20.00 |
| 3074F |
|
3,918 |
2,554 |
$0.10 |
| 3079F |
|
612 |
412 |
$0.08 |
| 3078F |
|
3,345 |
2,207 |
$0.06 |
| 3077F |
|
91 |
65 |
$0.04 |
| 3075F |
|
200 |
141 |
$0.00 |
| 2010F |
|
2,966 |
1,907 |
$0.00 |
| 1036F |
|
1,380 |
918 |
$0.00 |
| 2001F |
|
2,951 |
1,899 |
$0.00 |
| 2000F |
|
2,813 |
1,814 |
$0.00 |
| 3008F |
|
2,798 |
1,834 |
$0.00 |
| 4037F |
|
486 |
308 |
$0.00 |
| 3351F |
|
458 |
261 |
$0.00 |
| 3044F |
|
18 |
12 |
$0.00 |
| 3080F |
|
33 |
25 |
$0.00 |
| 1034F |
|
40 |
27 |
$0.00 |
| 90744 |
|
16 |
14 |
$0.00 |
| 4274F |
|
1,118 |
720 |
$0.00 |
| 1159F |
|
776 |
547 |
$0.00 |
| 1160F |
|
777 |
547 |
$0.00 |
| 4040F |
|
223 |
161 |
$0.00 |