| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
17,050 |
14,277 |
$2.38M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,328 |
8,830 |
$79K |
| 3074F |
|
1,662 |
1,485 |
$56K |
| 3078F |
|
1,468 |
1,298 |
$51K |
| 96127 |
|
744 |
594 |
$30K |
| 3079F |
|
993 |
884 |
$29K |
| 3077F |
|
809 |
694 |
$25K |
| 3080F |
|
601 |
530 |
$22K |
| 3075F |
|
611 |
553 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,924 |
4,277 |
$17K |
| 90658 |
|
105 |
104 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
161 |
134 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
132 |
108 |
$963.66 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
237 |
208 |
$648.84 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,284 |
1,111 |
$24.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,723 |
1,480 |
$14.88 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
109 |
94 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,319 |
1,116 |
$0.00 |
| 90688 |
|
100 |
75 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
101 |
34 |
$0.00 |
| 90656 |
|
34 |
34 |
$0.00 |
| 81002 |
|
18 |
12 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$0.00 |
| 81003 |
|
15 |
15 |
$0.00 |