| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
48,302 |
30,578 |
$6.60M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,373 |
9,997 |
$1.94M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,077 |
8,701 |
$1.63M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
350 |
325 |
$58K |
| W7010 |
|
720 |
637 |
$11K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
191 |
120 |
$4K |
| 0011A |
|
127 |
94 |
$4K |
| 0012A |
|
109 |
89 |
$4K |
| 3074F |
|
4,807 |
4,295 |
$3K |
| 99385 |
|
15 |
13 |
$2K |
| 0064A |
|
45 |
45 |
$2K |
| 80305 |
|
30 |
28 |
$508.82 |
| 92250 |
|
123 |
59 |
$452.14 |
| 3078F |
|
4,870 |
4,335 |
$422.76 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
49 |
41 |
$407.07 |
| 3079F |
|
381 |
342 |
$201.38 |
| 92015 |
Determination of refractive state |
280 |
177 |
$190.20 |
| 91301 |
|
70 |
56 |
$170.80 |
| 99000 |
|
32 |
30 |
$170.50 |
| 99406 |
|
1,049 |
917 |
$111.94 |
| 3075F |
|
107 |
95 |
$45.00 |
| 90674 |
|
89 |
81 |
$26.79 |
| 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 |
285 |
147 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
28 |
$0.00 |
| 83037 |
|
149 |
137 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
25 |
24 |
$0.00 |
| 3077F |
|
71 |
64 |
$0.00 |