| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
40,861 |
34,829 |
$10.46M |
| 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 |
1,292 |
997 |
$271K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,334 |
16,094 |
$228K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,525 |
6,548 |
$71K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,418 |
3,354 |
$66K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,246 |
2,818 |
$59K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,329 |
1,966 |
$55K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,749 |
1,301 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
786 |
436 |
$13K |
| 92552 |
|
4,334 |
2,534 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
217 |
175 |
$5K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
87 |
87 |
$3K |
| 90686 |
|
2,152 |
1,412 |
$3K |
| 90670 |
|
1,736 |
1,269 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
61 |
61 |
$1K |
| 90647 |
|
1,358 |
981 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
13 |
13 |
$787.71 |
| 90723 |
|
1,014 |
754 |
$663.68 |
| 85018 |
|
3,215 |
2,048 |
$642.61 |
| 76830 |
Ultrasound, transvaginal |
25 |
25 |
$582.20 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
460 |
269 |
$555.95 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
54 |
30 |
$530.23 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
261 |
189 |
$488.56 |
| 90633 |
|
928 |
629 |
$449.43 |
| 71046 |
Radiologic examination, chest; 2 views |
55 |
53 |
$399.08 |
| 90680 |
|
821 |
615 |
$359.84 |
| 90716 |
|
1,139 |
724 |
$311.33 |
| 90677 |
|
134 |
87 |
$302.00 |
| 90649 |
|
315 |
174 |
$298.97 |
| 90715 |
|
347 |
196 |
$287.60 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
213 |
130 |
$285.39 |
| 90707 |
|
1,038 |
661 |
$263.13 |
| 86580 |
|
435 |
284 |
$235.37 |
| 98940 |
|
13 |
13 |
$215.15 |
| 73562 |
|
28 |
27 |
$174.40 |
| 90657 |
|
160 |
138 |
$170.20 |
| 90688 |
|
122 |
77 |
$157.22 |
| 90685 |
|
377 |
236 |
$123.90 |
| 90734 |
|
186 |
105 |
$121.38 |
| 90696 |
|
304 |
180 |
$114.48 |
| 90656 |
|
62 |
46 |
$90.00 |
| 90658 |
|
61 |
61 |
$79.18 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
301 |
206 |
$71.11 |
| 81025 |
|
75 |
49 |
$50.68 |
| 99381 |
|
30 |
29 |
$45.33 |
| 90700 |
|
216 |
139 |
$28.91 |
| 81003 |
|
369 |
205 |
$23.52 |
| 82962 |
|
20 |
12 |
$16.00 |
| 99173 |
|
168 |
116 |
$6.90 |
| 82948 |
|
107 |
64 |
$3.48 |
| 1160F |
|
2,631 |
2,360 |
$0.00 |
| 1159F |
|
4,551 |
3,873 |
$0.00 |
| 3078F |
|
95 |
86 |
$0.00 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
63 |
56 |
$0.00 |
| 98966 |
|
15 |
13 |
$0.00 |
| 3008F |
|
6,404 |
6,051 |
$0.00 |
| 3074F |
|
57 |
54 |
$0.00 |
| 3079F |
|
25 |
24 |
$0.00 |
| 99441 |
|
14 |
12 |
$0.00 |
| 3075F |
|
15 |
15 |
$0.00 |