| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,015 |
5,095 |
$633K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,573 |
3,115 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,621 |
1,516 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
36 |
36 |
$421.78 |
| 87428 |
|
218 |
207 |
$223.58 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
113 |
78 |
$118.04 |
| 99215 |
Prolong outpt/office vis |
72 |
70 |
$78.05 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
273 |
268 |
$55.74 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
66 |
66 |
$53.91 |
| 92551 |
|
60 |
60 |
$44.36 |
| 94760 |
|
310 |
283 |
$21.88 |
| 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 |
98 |
89 |
$0.00 |
| 99000 |
|
13 |
12 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
46 |
43 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
34 |
33 |
$0.00 |