| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
29,905 |
25,034 |
$7.65M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,299 |
20,584 |
$82K |
| 98940 |
|
791 |
522 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,808 |
3,175 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,488 |
1,633 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,125 |
1,629 |
$5K |
| 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 |
58 |
41 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
758 |
730 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
728 |
561 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,789 |
1,466 |
$2K |
| 90686 |
|
2,023 |
1,591 |
$1K |
| 90670 |
|
1,953 |
1,454 |
$965.70 |
| 90723 |
|
1,378 |
1,036 |
$753.30 |
| 92552 |
|
1,641 |
1,404 |
$710.08 |
| 90647 |
|
1,309 |
973 |
$573.75 |
| 90680 |
|
1,182 |
870 |
$517.50 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
212 |
185 |
$411.35 |
| 99381 |
|
163 |
140 |
$389.84 |
| 90633 |
|
679 |
414 |
$375.75 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
565 |
400 |
$371.11 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
640 |
452 |
$332.12 |
| 90685 |
|
443 |
316 |
$273.60 |
| G9964 |
Patient received at least one well-child visit with a pcp during the performance period |
535 |
530 |
$269.10 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
166 |
159 |
$258.64 |
| 85018 |
|
1,339 |
892 |
$197.26 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
36 |
28 |
$157.11 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
17 |
13 |
$128.16 |
| 82962 |
|
629 |
372 |
$113.80 |
| 90700 |
|
137 |
81 |
$100.80 |
| 90715 |
|
129 |
121 |
$94.92 |
| 90716 |
|
350 |
253 |
$92.25 |
| 90707 |
|
292 |
200 |
$82.80 |
| 90688 |
|
29 |
29 |
$63.21 |
| 90656 |
|
174 |
139 |
$56.35 |
| 86580 |
|
100 |
86 |
$19.91 |
| 90658 |
|
50 |
50 |
$18.90 |
| 82948 |
|
278 |
248 |
$8.56 |
| 81002 |
|
16 |
16 |
$4.17 |
| 81003 |
|
120 |
107 |
$4.08 |
| 81025 |
|
24 |
24 |
$2.65 |
| 1160F |
|
6,307 |
5,067 |
$0.00 |
| 1159F |
|
6,504 |
5,214 |
$0.00 |
| 3078F |
|
375 |
346 |
$0.00 |
| 90734 |
|
71 |
62 |
$0.00 |
| 90649 |
|
60 |
53 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
31 |
28 |
$0.00 |
| 99442 |
|
12 |
12 |
$0.00 |
| 3008F |
|
7,039 |
6,236 |
$0.00 |
| 3074F |
|
353 |
332 |
$0.00 |
| 3075F |
|
82 |
79 |
$0.00 |
| 3079F |
|
261 |
245 |
$0.00 |