| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
16,951 |
13,958 |
$4.10M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,841 |
7,237 |
$22K |
| 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 |
88 |
79 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,473 |
5,112 |
$4K |
| 59425 |
|
118 |
79 |
$967.05 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
703 |
510 |
$663.80 |
| 81002 |
|
184 |
166 |
$149.64 |
| 81025 |
|
661 |
554 |
$124.04 |
| 90686 |
|
2,175 |
1,882 |
$85.05 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
75 |
72 |
$68.68 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
73 |
52 |
$56.44 |
| 85018 |
|
2,049 |
1,833 |
$46.69 |
| 90688 |
|
74 |
74 |
$22.08 |
| 92552 |
|
469 |
397 |
$15.15 |
| 81003 |
|
347 |
297 |
$10.57 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
447 |
344 |
$4.42 |
| 3078F |
|
363 |
342 |
$0.00 |
| 1160F |
|
2,542 |
2,196 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
745 |
689 |
$0.00 |
| 1159F |
|
2,614 |
2,255 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
793 |
671 |
$0.00 |
| 99442 |
|
82 |
77 |
$0.00 |
| 90670 |
|
121 |
109 |
$0.00 |
| 90685 |
|
124 |
120 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
25 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
88 |
66 |
$0.00 |
| 82948 |
|
21 |
15 |
$0.00 |
| 99201 |
|
42 |
35 |
$0.00 |
| Z1034 |
|
109 |
67 |
$0.00 |
| 3074F |
|
300 |
288 |
$0.00 |
| 86580 |
|
34 |
31 |
$0.00 |
| G9964 |
Patient received at least one well-child visit with a pcp during the performance period |
144 |
144 |
$0.00 |
| 3008F |
|
2,944 |
2,681 |
$0.00 |
| 90656 |
|
92 |
84 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
358 |
280 |
$0.00 |
| 82962 |
|
14 |
12 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
12 |
$0.00 |
| Z6410 |
|
15 |
13 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
17 |
15 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |