| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,645 |
3,672 |
$269K |
| T1015 |
Clinic visit/encounter, all-inclusive |
7,246 |
5,910 |
$75K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
851 |
700 |
$69K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
453 |
401 |
$41K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
286 |
205 |
$9K |
| 92015 |
Determination of refractive state |
630 |
549 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
58 |
45 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
41 |
39 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
19 |
19 |
$2K |
| 90686 |
|
288 |
256 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
18 |
13 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
76 |
27 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
137 |
120 |
$898.13 |
| 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 |
39 |
28 |
$831.84 |
| 92250 |
|
35 |
28 |
$662.23 |
| 90656 |
|
27 |
24 |
$213.25 |
| 83655 |
|
14 |
14 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
40 |
27 |
$0.00 |
| 90651 |
|
27 |
24 |
$0.00 |
| 87428 |
|
26 |
23 |
$0.00 |
| 85018 |
|
15 |
15 |
$0.00 |