| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
12,282 |
9,901 |
$1.77M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,219 |
4,416 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,208 |
1,941 |
$3K |
| 0011A |
|
19 |
19 |
$925.94 |
| 0012A |
|
16 |
16 |
$721.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
47 |
44 |
$443.16 |
| 81025 |
|
45 |
44 |
$33.60 |
| 81003 |
|
1,138 |
1,029 |
$30.82 |
| 99173 |
|
702 |
701 |
$0.00 |
| 3078F |
|
1,247 |
1,133 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
296 |
291 |
$0.00 |
| 1159F |
|
1,696 |
1,525 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
129 |
129 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
97 |
97 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
85 |
85 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
88 |
88 |
$0.00 |
| 1160F |
|
72 |
72 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
31 |
30 |
$0.00 |
| 1158F |
|
15 |
14 |
$0.00 |
| 90672 |
|
17 |
17 |
$0.00 |
| 90686 |
|
88 |
88 |
$0.00 |
| 85018 |
|
1,295 |
1,262 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
661 |
654 |
$0.00 |
| 82962 |
|
241 |
216 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
278 |
272 |
$0.00 |
| 1126F |
|
816 |
762 |
$0.00 |
| 1170F |
|
106 |
103 |
$0.00 |
| 3079F |
|
412 |
384 |
$0.00 |
| 90474 |
|
17 |
17 |
$0.00 |
| 3074F |
|
1,464 |
1,314 |
$0.00 |
| 1125F |
|
168 |
162 |
$0.00 |
| 3075F |
|
54 |
53 |
$0.00 |
| 92551 |
|
678 |
678 |
$0.00 |
| 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 |
13 |
12 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$0.00 |
| 90651 |
|
33 |
33 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
85 |
80 |
$0.00 |
| 1123F |
|
14 |
13 |
$0.00 |
| 90674 |
|
17 |
17 |
$0.00 |
| 90656 |
|
29 |
29 |
$0.00 |