| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
44,224 |
35,683 |
$11.32M |
| 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 |
7,448 |
5,722 |
$404K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41,678 |
28,304 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,842 |
2,804 |
$1K |
| 1159F |
|
6,525 |
5,302 |
$378.84 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,190 |
1,604 |
$176.17 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,815 |
3,115 |
$97.60 |
| 90688 |
|
72 |
71 |
$63.21 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,049 |
798 |
$60.96 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
46 |
42 |
$53.88 |
| 90656 |
|
330 |
254 |
$53.44 |
| 90686 |
|
960 |
747 |
$28.11 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,148 |
2,241 |
$26.17 |
| 82962 |
|
1,299 |
1,021 |
$20.11 |
| 85018 |
|
1,118 |
855 |
$14.89 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
68 |
64 |
$12.33 |
| 81025 |
|
139 |
106 |
$5.60 |
| 81002 |
|
75 |
69 |
$2.08 |
| 99442 |
|
319 |
297 |
$0.00 |
| 3078F |
|
1,347 |
1,254 |
$0.00 |
| 1160F |
|
6,514 |
5,297 |
$0.00 |
| 92552 |
|
852 |
660 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
340 |
264 |
$0.00 |
| 3077F |
|
80 |
73 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
76 |
56 |
$0.00 |
| 82948 |
|
2,701 |
2,163 |
$0.00 |
| 90649 |
|
64 |
44 |
$0.00 |
| 90715 |
|
291 |
228 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
343 |
271 |
$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 |
| 81003 |
|
237 |
166 |
$0.00 |
| 90658 |
|
12 |
12 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
20 |
20 |
$0.00 |
| 3046F |
|
27 |
24 |
$0.00 |
| 90670 |
|
17 |
12 |
$0.00 |
| 90734 |
|
110 |
89 |
$0.00 |
| 90707 |
|
20 |
12 |
$0.00 |
| 90633 |
|
20 |
12 |
$0.00 |
| 3044F |
|
28 |
28 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
390 |
326 |
$0.00 |
| 3074F |
|
1,069 |
996 |
$0.00 |
| 3079F |
|
404 |
394 |
$0.00 |
| 3075F |
|
419 |
409 |
$0.00 |
| 3008F |
|
3,467 |
3,048 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
92 |
62 |
$0.00 |
| 90674 |
|
71 |
71 |
$0.00 |
| 90677 |
|
37 |
27 |
$0.00 |
| 92250 |
|
44 |
37 |
$0.00 |
| 99441 |
|
13 |
13 |
$0.00 |
| 90651 |
|
20 |
15 |
$0.00 |
| 90716 |
|
38 |
25 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
14 |
12 |
$0.00 |