| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,488 |
2,053 |
$634K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,292 |
1,172 |
$46K |
| 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 |
352 |
329 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
224 |
211 |
$11K |
| D0999 |
Unspecified diagnostic procedure, by report |
19 |
12 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
36 |
32 |
$893.48 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
16 |
14 |
$354.51 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
12 |
$81.15 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
14 |
$77.82 |
| 99348 |
|
45 |
45 |
$12.66 |
| 99347 |
|
61 |
61 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
81 |
79 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
52 |
52 |
$0.00 |
| 90686 |
|
36 |
36 |
$0.00 |
| 99335 |
|
108 |
108 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |
| 90656 |
|
16 |
16 |
$0.00 |