| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
8,559 |
7,414 |
$1.17M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,778 |
3,449 |
$187K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,417 |
1,335 |
$74K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
899 |
858 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
359 |
356 |
$28K |
| 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 |
618 |
562 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
226 |
222 |
$17K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
487 |
466 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,276 |
1,213 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,474 |
690 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
74 |
74 |
$6K |
| 87428 |
|
235 |
225 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
412 |
391 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
90 |
85 |
$2K |
| CP002 |
|
81 |
79 |
$755.00 |
| 90461 |
|
155 |
124 |
$566.89 |
| 90686 |
|
219 |
206 |
$320.83 |
| 87807 |
|
30 |
30 |
$220.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
27 |
27 |
$114.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
265 |
258 |
$93.65 |
| 0001A |
|
14 |
14 |
$67.76 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
85 |
59 |
$30.16 |
| 81003 |
|
29 |
28 |
$24.57 |
| 3074F |
|
253 |
226 |
$0.00 |
| 92551 |
|
107 |
105 |
$0.00 |
| 3079F |
|
148 |
138 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |
| 90651 |
|
129 |
126 |
$0.00 |
| 3075F |
|
41 |
40 |
$0.00 |
| 1036F |
|
14 |
13 |
$0.00 |
| 4145F |
|
14 |
14 |
$0.00 |
| 3078F |
|
165 |
148 |
$0.00 |
| 90715 |
|
28 |
27 |
$0.00 |
| 99173 |
|
111 |
109 |
$0.00 |
| 3077F |
|
13 |
13 |
$0.00 |
| 90734 |
|
71 |
68 |
$0.00 |