| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
2,382 |
1,697 |
$233K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,125 |
917 |
$34K |
| 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 |
448 |
402 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
59 |
46 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
72 |
62 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
28 |
12 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
22 |
16 |
$536.60 |
| 87428 |
|
160 |
150 |
$30.94 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
66 |
60 |
$13.89 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
58 |
48 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
14 |
14 |
$0.00 |