| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
21,738 |
17,655 |
$4.77M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,355 |
6,147 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,907 |
5,484 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
890 |
760 |
$501.03 |
| 99000 |
|
4,010 |
3,209 |
$453.47 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
475 |
404 |
$450.03 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
308 |
270 |
$236.08 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
465 |
425 |
$234.11 |
| 36415 |
Collection of venous blood by venipuncture |
4,299 |
3,658 |
$124.20 |
| 80061 |
Lipid panel |
225 |
156 |
$122.05 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,763 |
1,476 |
$119.12 |
| 0012A |
|
103 |
97 |
$96.78 |
| 86703 |
|
1,031 |
832 |
$86.34 |
| 0011A |
|
112 |
101 |
$67.76 |
| 82274 |
|
145 |
129 |
$53.44 |
| 0001A |
|
181 |
159 |
$40.00 |
| 81002 |
|
205 |
126 |
$23.51 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
586 |
420 |
$21.33 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
56 |
53 |
$21.11 |
| 36416 |
|
1,016 |
767 |
$6.94 |
| 90686 |
|
394 |
338 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
892 |
743 |
$0.00 |
| 91303 |
|
56 |
43 |
$0.00 |
| 91301 |
|
184 |
164 |
$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 |
254 |
208 |
$0.00 |
| 3008F |
|
2,560 |
2,255 |
$0.00 |
| 91307 |
|
45 |
45 |
$0.00 |
| 92228 |
|
43 |
42 |
$0.00 |
| 0001F |
|
64 |
60 |
$0.00 |
| 90656 |
|
328 |
262 |
$0.00 |
| 0031A |
|
67 |
58 |
$0.00 |
| 1125F |
|
197 |
181 |
$0.00 |
| 0072A |
|
59 |
59 |
$0.00 |
| 97802 |
|
13 |
12 |
$0.00 |
| 0064A |
|
17 |
17 |
$0.00 |
| 96161 |
|
14 |
13 |
$0.00 |
| 90461 |
|
63 |
52 |
$0.00 |
| 91300 |
|
312 |
238 |
$0.00 |
| 0002A |
|
181 |
165 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
12 |
$0.00 |
| 0004A |
|
94 |
94 |
$0.00 |
| 81025 |
|
227 |
161 |
$0.00 |
| 96158 |
|
45 |
38 |
$0.00 |
| 1159F |
|
270 |
250 |
$0.00 |
| 91322 |
|
19 |
14 |
$0.00 |
| 0071A |
|
74 |
71 |
$0.00 |
| 96159 |
|
16 |
13 |
$0.00 |
| 0013A |
|
43 |
43 |
$0.00 |
| 90715 |
|
17 |
16 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
19 |
14 |
$0.00 |