| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
15,195 |
14,325 |
$1.86M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,011 |
8,499 |
$20K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,672 |
1,114 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,519 |
6,837 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
524 |
444 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,547 |
1,027 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
973 |
663 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
302 |
258 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,122 |
740 |
$543.42 |
| 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 |
$468.39 |
| 99000 |
|
3,202 |
2,093 |
$315.65 |
| 81003 |
|
294 |
199 |
$31.45 |
| 81025 |
|
187 |
126 |
$30.20 |
| 81000 |
|
262 |
227 |
$27.23 |
| 81002 |
|
508 |
467 |
$12.90 |
| 3079F |
|
2,883 |
2,101 |
$0.02 |
| 3075F |
|
995 |
678 |
$0.02 |
| 3078F |
|
9,305 |
6,723 |
$0.02 |
| 3074F |
|
10,610 |
7,686 |
$0.01 |
| 3077F |
|
987 |
651 |
$0.01 |
| 1036F |
|
1,717 |
1,082 |
$0.00 |
| 1034F |
|
233 |
147 |
$0.00 |
| 3080F |
|
394 |
253 |
$0.00 |
| 96127 |
|
20 |
20 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
888 |
777 |
$0.00 |
| 1160F |
|
6,113 |
3,922 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
78 |
76 |
$0.00 |
| 1159F |
|
6,112 |
3,922 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
17 |
$0.00 |