| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
39,500 |
30,849 |
$8.93M |
| 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 |
1,061 |
907 |
$114K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,847 |
2,154 |
$60K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,420 |
13,383 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,716 |
12,229 |
$26K |
| 59425 |
|
787 |
511 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,676 |
1,479 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,636 |
1,364 |
$890.97 |
| 90670 |
|
1,502 |
1,302 |
$347.49 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
312 |
259 |
$261.68 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
382 |
318 |
$249.27 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
837 |
749 |
$239.00 |
| 90688 |
|
186 |
176 |
$232.46 |
| 90723 |
|
659 |
592 |
$206.85 |
| 81002 |
|
289 |
230 |
$180.49 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
847 |
678 |
$131.11 |
| 81025 |
|
541 |
481 |
$127.66 |
| 90686 |
|
1,731 |
1,459 |
$116.54 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$67.92 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
238 |
213 |
$64.45 |
| 85018 |
|
1,622 |
1,366 |
$56.87 |
| 90680 |
|
679 |
598 |
$56.70 |
| 90647 |
|
998 |
868 |
$56.70 |
| 99460 |
|
14 |
13 |
$50.99 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
17 |
13 |
$40.61 |
| 90715 |
|
405 |
367 |
$37.18 |
| 92552 |
|
347 |
304 |
$33.04 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
14 |
12 |
$16.66 |
| 86580 |
|
197 |
176 |
$3.70 |
| 92553 |
|
256 |
206 |
$0.00 |
| 90734 |
|
76 |
56 |
$0.00 |
| 90633 |
|
274 |
213 |
$0.00 |
| 81003 |
|
214 |
188 |
$0.00 |
| 82948 |
|
272 |
243 |
$0.00 |
| 90649 |
|
81 |
69 |
$0.00 |
| 1160F |
|
989 |
874 |
$0.00 |
| 1159F |
|
1,532 |
1,303 |
$0.00 |
| 90713 |
|
29 |
25 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
37 |
32 |
$0.00 |
| 90707 |
|
240 |
183 |
$0.00 |
| 90685 |
|
147 |
129 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
205 |
150 |
$0.00 |
| 90700 |
|
154 |
134 |
$0.00 |
| 3078F |
|
130 |
126 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
131 |
94 |
$0.00 |
| 3077F |
|
14 |
12 |
$0.00 |
| 90658 |
|
16 |
16 |
$0.00 |
| 94150 |
|
25 |
13 |
$0.00 |
| 3008F |
|
3,446 |
2,924 |
$0.00 |
| 90677 |
|
180 |
152 |
$0.00 |
| Z1034 |
|
1,040 |
635 |
$0.00 |
| 90716 |
|
246 |
189 |
$0.00 |
| 90651 |
|
22 |
15 |
$0.00 |
| G9964 |
Patient received at least one well-child visit with a pcp during the performance period |
480 |
466 |
$0.00 |
| 99402 |
|
97 |
84 |
$0.00 |
| 3074F |
|
84 |
77 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
738 |
446 |
$0.00 |
| 3079F |
|
72 |
68 |
$0.00 |
| 99381 |
|
20 |
20 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
52 |
43 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
36 |
28 |
$0.00 |
| Z6410 |
|
72 |
37 |
$0.00 |
| 3075F |
|
32 |
31 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
24 |
19 |
$0.00 |
| 90657 |
|
13 |
12 |
$0.00 |