| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
31,176 |
25,568 |
$7.35M |
| 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 |
1,305 |
1,026 |
$152K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,576 |
21,952 |
$82K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,498 |
7,821 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 81025 |
|
1,463 |
1,162 |
$497.28 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,765 |
2,930 |
$356.85 |
| 90686 |
|
4,510 |
3,614 |
$324.95 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,250 |
1,015 |
$272.55 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
516 |
454 |
$219.63 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,337 |
1,024 |
$162.84 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,072 |
721 |
$111.06 |
| 81002 |
|
197 |
166 |
$92.81 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,498 |
1,187 |
$86.82 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
114 |
86 |
$68.68 |
| 92552 |
|
1,211 |
927 |
$49.56 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,767 |
1,280 |
$44.32 |
| 82962 |
|
2,734 |
1,666 |
$8.08 |
| 85018 |
|
329 |
230 |
$6.17 |
| 81003 |
|
532 |
458 |
$5.56 |
| 82948 |
|
1,891 |
1,572 |
$5.39 |
| 86580 |
|
248 |
201 |
$3.70 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
97 |
94 |
$0.12 |
| 3075F |
|
948 |
903 |
$0.00 |
| 3044F |
|
714 |
711 |
$0.00 |
| 3008F |
|
3,641 |
3,389 |
$0.00 |
| 3074F |
|
1,322 |
1,241 |
$0.00 |
| 3079F |
|
1,101 |
1,046 |
$0.00 |
| 90620 |
|
24 |
12 |
$0.00 |
| 90677 |
|
147 |
110 |
$0.00 |
| 99384 |
|
12 |
12 |
$0.00 |
| 91301 |
|
45 |
44 |
$0.00 |
| 90647 |
|
92 |
67 |
$0.00 |
| 90716 |
|
118 |
89 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
75 |
69 |
$0.00 |
| 0012A |
|
20 |
18 |
$0.00 |
| 90656 |
|
57 |
55 |
$0.00 |
| 90696 |
|
20 |
12 |
$0.00 |
| 0011A |
|
21 |
19 |
$0.00 |
| 90688 |
|
138 |
138 |
$0.00 |
| 90670 |
|
271 |
183 |
$0.00 |
| 1160F |
|
8,985 |
7,612 |
$0.00 |
| 1159F |
|
9,188 |
7,783 |
$0.00 |
| 3078F |
|
1,437 |
1,329 |
$0.00 |
| 90715 |
|
628 |
475 |
$0.00 |
| 3077F |
|
108 |
93 |
$0.00 |
| 90734 |
|
315 |
234 |
$0.00 |
| 90633 |
|
138 |
88 |
$0.00 |
| 90649 |
|
151 |
135 |
$0.00 |
| 3051F |
|
53 |
53 |
$0.00 |
| 90658 |
|
38 |
38 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
19 |
13 |
$0.00 |
| 3046F |
|
12 |
12 |
$0.00 |
| 90685 |
|
42 |
29 |
$0.00 |
| 90707 |
|
84 |
61 |
$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 |
17 |
17 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
12 |
$0.00 |
| 90746 |
|
19 |
12 |
$0.00 |