| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
18,730 |
11,261 |
$3.45M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,851 |
7,539 |
$1.11M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,523 |
4,059 |
$495K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
270 |
226 |
$44K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
407 |
378 |
$43K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
628 |
532 |
$42K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$4K |
| 91322 |
|
36 |
27 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
68 |
60 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
24 |
$2K |
| 0011A |
|
56 |
45 |
$867.80 |
| 0012A |
|
49 |
44 |
$854.24 |
| 0064A |
|
30 |
30 |
$762.88 |
| 1159F |
|
1,182 |
1,018 |
$630.00 |
| 1160F |
|
1,182 |
1,017 |
$630.00 |
| 3008F |
|
1,536 |
1,277 |
$604.24 |
| 90480 |
|
36 |
27 |
$520.00 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
131 |
104 |
$482.23 |
| 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 |
2,756 |
2,363 |
$406.10 |
| 90688 |
|
300 |
241 |
$359.14 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
132 |
109 |
$349.20 |
| 0031A |
|
25 |
24 |
$240.00 |
| 97802 |
|
453 |
392 |
$150.15 |
| 3044F |
|
13 |
12 |
$80.00 |
| 90656 |
|
51 |
41 |
$79.12 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
381 |
319 |
$55.52 |
| 90674 |
|
152 |
151 |
$46.56 |
| 81002 |
|
29 |
28 |
$2.77 |
| 93000 |
|
28 |
25 |
$0.00 |
| 91301 |
|
157 |
151 |
$0.00 |
| 91303 |
|
25 |
24 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
95 |
66 |
$0.00 |
| 99173 |
|
17 |
17 |
$0.00 |