| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
30,851 |
23,812 |
$3.74M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,289 |
18,901 |
$360K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,975 |
4,006 |
$105K |
| 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 |
1,828 |
1,470 |
$34K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
673 |
549 |
$32K |
| 59425 |
|
266 |
197 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
837 |
577 |
$9K |
| 87631 |
|
520 |
452 |
$8K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
525 |
308 |
$6K |
| 90686 |
|
374 |
263 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
182 |
145 |
$4K |
| 80305 |
|
731 |
468 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
158 |
156 |
$3K |
| 90674 |
|
129 |
109 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
91 |
80 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
429 |
326 |
$690.25 |
| 92551 |
|
62 |
62 |
$689.13 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
148 |
113 |
$517.92 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$373.90 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
73 |
53 |
$212.49 |
| 81002 |
|
178 |
115 |
$174.09 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
12 |
$84.00 |
| 81025 |
|
14 |
13 |
$39.20 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
14 |
13 |
$31.17 |
| Z1034 |
|
805 |
670 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
13 |
12 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$0.00 |
| 80377 |
|
21 |
12 |
$0.00 |