| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
24,412 |
21,616 |
$7.28M |
| 0011A |
|
339 |
329 |
$9K |
| 0012A |
|
225 |
223 |
$7K |
| 0001A |
|
226 |
198 |
$5K |
| 0002A |
|
195 |
184 |
$5K |
| 0003A |
|
69 |
53 |
$2K |
| 3078F |
|
1,968 |
1,837 |
$1K |
| 3074F |
|
2,153 |
1,989 |
$1K |
| 0013A |
|
42 |
37 |
$1K |
| 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 |
30 |
24 |
$1K |
| 3079F |
|
1,211 |
1,140 |
$1K |
| 3077F |
|
368 |
346 |
$530.00 |
| 3075F |
|
430 |
418 |
$370.00 |
| 90480 |
|
18 |
18 |
$320.00 |
| 0124A |
|
14 |
14 |
$320.00 |
| 91320 |
|
12 |
12 |
$244.16 |
| 90686 |
|
348 |
347 |
$187.23 |
| 90656 |
|
27 |
27 |
$134.10 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,470 |
6,727 |
$70.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,170 |
1,034 |
$23.21 |
| 80053 |
Comprehensive metabolic panel |
2,346 |
2,119 |
$0.01 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
898 |
782 |
$0.01 |
| 91301 |
|
274 |
268 |
$0.01 |
| 80061 |
Lipid panel |
2,478 |
2,179 |
$0.01 |
| 91300 |
|
244 |
231 |
$0.01 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
191 |
179 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,929 |
3,697 |
$0.00 |
| 85018 |
|
867 |
757 |
$0.00 |
| 36416 |
|
2,015 |
1,777 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,660 |
1,509 |
$0.00 |
| 82962 |
|
1,320 |
1,182 |
$0.00 |
| 3008F |
|
3,853 |
3,598 |
$0.00 |
| 86592 |
|
277 |
264 |
$0.00 |
| 4010F |
|
201 |
185 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
911 |
859 |
$0.00 |
| 80050 |
General health panel |
35 |
34 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
29 |
29 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
236 |
223 |
$0.00 |
| T2022 |
Case management, per month |
574 |
544 |
$0.00 |
| 81001 |
|
70 |
70 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$0.00 |
| 87536 |
|
12 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
49 |
41 |
$0.00 |
| 1160F |
|
581 |
537 |
$0.00 |
| 99401 |
|
415 |
381 |
$0.00 |
| G9920 |
Screening performed and negative |
599 |
578 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,345 |
2,082 |
$0.00 |
| 1159F |
|
600 |
553 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
352 |
331 |
$0.00 |
| 82948 |
|
375 |
352 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
76 |
69 |
$0.00 |
| A4268 |
Contraceptive supply, condom, female, each |
16 |
12 |
$0.00 |
| 99173 |
|
53 |
51 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18 |
18 |
$0.00 |
| 99499 |
|
51 |
50 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
13 |
13 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$0.00 |
| 90750 |
|
14 |
14 |
$0.00 |
| 92552 |
|
14 |
13 |
$0.00 |
| A4267 |
Contraceptive supply, condom, male, each |
14 |
13 |
$0.00 |