| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
10,099 |
7,772 |
$650K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,524 |
7,132 |
$297K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,336 |
874 |
$33K |
| 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 |
729 |
537 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
123 |
76 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
126 |
77 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
214 |
120 |
$4K |
| 90674 |
|
92 |
72 |
$2K |
| 81002 |
|
404 |
222 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$922.84 |
| 86328 |
|
30 |
14 |
$675.00 |
| 82962 |
|
138 |
82 |
$390.79 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
29 |
17 |
$239.96 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
60 |
51 |
$238.49 |
| 90661 |
|
13 |
13 |
$66.49 |
| 1159F |
|
1,046 |
792 |
$0.00 |
| 1160F |
|
1,145 |
876 |
$0.00 |
| 3078F |
|
2,198 |
1,133 |
$0.00 |
| 3077F |
|
189 |
103 |
$0.00 |
| 3074F |
|
2,191 |
1,125 |
$0.00 |
| 3075F |
|
265 |
136 |
$0.00 |
| 3079F |
|
566 |
295 |
$0.00 |
| 1125F |
|
854 |
456 |
$0.00 |
| 1126F |
|
1,488 |
805 |
$0.00 |
| 3080F |
|
24 |
15 |
$0.00 |
| 1170F |
|
34 |
23 |
$0.00 |
| 85018 |
|
18 |
14 |
$0.00 |