| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,638 |
3,200 |
$883K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,702 |
1,449 |
$405.91 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
767 |
629 |
$142.10 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$65.15 |
| 86703 |
|
55 |
52 |
$42.28 |
| 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 |
276 |
194 |
$33.69 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
72 |
70 |
$21.82 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
66 |
63 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
128 |
111 |
$0.00 |
| 80061 |
Lipid panel |
16 |
15 |
$0.00 |
| 81002 |
|
20 |
14 |
$0.00 |
| 90461 |
|
12 |
12 |
$0.00 |
| 0071A |
|
16 |
16 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,145 |
1,015 |
$0.00 |
| 3008F |
|
510 |
456 |
$0.00 |
| 99000 |
|
149 |
114 |
$0.00 |
| 90686 |
|
140 |
113 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
70 |
57 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
47 |
47 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
83 |
67 |
$0.00 |
| 97802 |
|
12 |
12 |
$0.00 |
| 90656 |
|
14 |
14 |
$0.00 |
| 0001A |
|
12 |
12 |
$0.00 |