| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
13,511 |
10,493 |
$3.44M |
| 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 |
683 |
516 |
$106K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,921 |
3,617 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,120 |
2,365 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
464 |
363 |
$4K |
| 90686 |
|
414 |
340 |
$879.16 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
21 |
15 |
$509.35 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
26 |
25 |
$507.96 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
96 |
87 |
$347.28 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
286 |
232 |
$271.89 |
| 90656 |
|
67 |
53 |
$242.45 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
69 |
62 |
$217.12 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
145 |
101 |
$145.86 |
| 82948 |
|
399 |
332 |
$92.98 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
44 |
40 |
$74.04 |
| 81003 |
|
254 |
176 |
$68.38 |
| 92552 |
|
30 |
28 |
$33.04 |
| 81025 |
|
19 |
15 |
$9.24 |
| 3008F |
|
616 |
523 |
$0.00 |
| Z1034 |
|
20 |
14 |
$0.00 |
| 1160F |
|
856 |
671 |
$0.00 |
| 1159F |
|
876 |
687 |
$0.00 |
| 99442 |
|
266 |
255 |
$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 |
13 |
13 |
$0.00 |