| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
13,512 |
10,878 |
$3.19M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,388 |
9,392 |
$301K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,762 |
1,437 |
$51K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,036 |
1,700 |
$47K |
| 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 |
236 |
180 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
189 |
148 |
$8K |
| 92552 |
|
480 |
411 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
130 |
110 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
117 |
94 |
$3K |
| 90686 |
|
203 |
192 |
$2K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
73 |
70 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
34 |
30 |
$959.56 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$822.48 |
| 90715 |
|
92 |
77 |
$535.85 |
| 90656 |
|
51 |
44 |
$501.47 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
62 |
61 |
$369.97 |
| 90688 |
|
12 |
12 |
$239.60 |
| 90649 |
|
41 |
29 |
$202.50 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
193 |
135 |
$179.48 |
| 90734 |
|
25 |
15 |
$157.50 |
| 90707 |
|
13 |
13 |
$146.25 |
| 90670 |
|
13 |
13 |
$146.25 |
| 90716 |
|
13 |
13 |
$146.25 |
| 81003 |
|
55 |
29 |
$42.39 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
64 |
62 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
19 |
19 |
$0.00 |