| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
4,599 |
3,112 |
$402K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,687 |
1,409 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
297 |
254 |
$12K |
| 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 |
12 |
12 |
$390.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
378 |
330 |
$162.84 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
268 |
232 |
$90.34 |
| 90461 |
|
13 |
13 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
230 |
199 |
$0.00 |
| 87428 |
|
260 |
234 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
17 |
13 |
$0.00 |
| 87807 |
|
18 |
17 |
$0.00 |