| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
61,374 |
53,288 |
$9.27M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,443 |
31,231 |
$386K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,391 |
6,920 |
$148K |
| 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 |
3,594 |
2,706 |
$119K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,036 |
6,119 |
$49K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
721 |
438 |
$15K |
| 92081 |
|
398 |
398 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,625 |
1,090 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,716 |
1,891 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
495 |
338 |
$8K |
| 92552 |
|
1,126 |
810 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
296 |
290 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
110 |
68 |
$3K |
| 85018 |
|
2,611 |
1,843 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
133 |
83 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
494 |
493 |
$2K |
| 90686 |
|
822 |
610 |
$2K |
| 99215 |
Prolong outpt/office vis |
25 |
25 |
$1K |
| 81002 |
|
471 |
458 |
$1K |
| 90670 |
|
525 |
346 |
$983.36 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
151 |
150 |
$393.75 |
| 87420 |
|
213 |
208 |
$340.54 |
| 87081 |
|
111 |
111 |
$216.96 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
32 |
$177.00 |
| 90698 |
|
197 |
138 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,103 |
871 |
$0.00 |
| 99243 |
|
44 |
39 |
$0.00 |
| 90651 |
|
49 |
27 |
$0.00 |
| 90743 |
|
78 |
52 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| 90680 |
|
29 |
16 |
$0.00 |
| 94760 |
|
34 |
30 |
$0.00 |
| 99441 |
|
21 |
19 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
510 |
510 |
$0.00 |
| 90633 |
|
88 |
54 |
$0.00 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
247 |
245 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
358 |
355 |
$0.00 |
| 90710 |
|
19 |
13 |
$0.00 |
| 90734 |
|
26 |
14 |
$0.00 |