| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,361 |
6,657 |
$1.00M |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
422 |
372 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,424 |
1,288 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,874 |
3,216 |
$16K |
| 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 |
314 |
295 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,033 |
892 |
$6K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
124 |
81 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
290 |
252 |
$1K |
| 90688 |
|
113 |
87 |
$993.03 |
| 99000 |
|
400 |
385 |
$275.78 |
| 90715 |
|
27 |
25 |
$154.96 |
| 3078F |
|
346 |
337 |
$98.58 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
21 |
21 |
$80.22 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
375 |
342 |
$53.52 |
| 90686 |
|
40 |
33 |
$50.49 |
| 81002 |
|
27 |
24 |
$0.00 |
| 3077F |
|
58 |
56 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
115 |
115 |
$0.00 |
| 90670 |
|
25 |
24 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
35 |
30 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
38 |
29 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
17 |
16 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
58 |
42 |
$0.00 |
| 3074F |
|
359 |
347 |
$0.00 |
| 3079F |
|
101 |
98 |
$0.00 |
| 90744 |
|
16 |
15 |
$0.00 |
| 3075F |
|
14 |
13 |
$0.00 |