| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
22,787 |
20,123 |
$5.96M |
| 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 |
741 |
584 |
$166K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,946 |
12,646 |
$65K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,081 |
4,661 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
563 |
530 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
345 |
324 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,415 |
1,045 |
$2K |
| 90686 |
|
1,057 |
926 |
$1K |
| 90670 |
|
443 |
432 |
$697.92 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
52 |
37 |
$498.85 |
| 90723 |
|
212 |
205 |
$334.59 |
| 90647 |
|
142 |
138 |
$325.77 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
68 |
48 |
$259.25 |
| 81025 |
|
157 |
151 |
$185.64 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$157.11 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
33 |
32 |
$153.93 |
| 90680 |
|
139 |
134 |
$139.56 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
582 |
467 |
$132.03 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
448 |
324 |
$84.62 |
| 90715 |
|
60 |
60 |
$75.47 |
| 90656 |
|
71 |
46 |
$73.42 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$54.28 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
29 |
28 |
$45.98 |
| 85018 |
|
159 |
146 |
$27.92 |
| 90688 |
|
28 |
26 |
$21.07 |
| 90716 |
|
12 |
12 |
$18.90 |
| 82948 |
|
86 |
76 |
$8.44 |
| 81003 |
|
108 |
102 |
$4.98 |
| 3008F |
|
2,535 |
2,329 |
$0.00 |
| 3079F |
|
24 |
24 |
$0.00 |
| 91301 |
|
21 |
20 |
$0.00 |
| 3074F |
|
250 |
244 |
$0.00 |
| 99381 |
|
17 |
17 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
26 |
24 |
$0.00 |
| 0011A |
|
18 |
12 |
$0.00 |
| 0012A |
|
18 |
12 |
$0.00 |
| 1159F |
|
4,144 |
3,556 |
$0.00 |
| 1160F |
|
3,883 |
3,347 |
$0.00 |
| 3078F |
|
333 |
323 |
$0.00 |
| 90633 |
|
15 |
12 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
13 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$0.00 |