| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
10,702 |
9,195 |
$1.47M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,556 |
4,998 |
$260K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,508 |
1,436 |
$87K |
| 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 |
1,121 |
735 |
$34K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
402 |
388 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
398 |
389 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
845 |
806 |
$25K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
965 |
915 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,402 |
1,299 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,602 |
802 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
776 |
731 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
44 |
44 |
$3K |
| CP002 |
|
239 |
198 |
$2K |
| 90686 |
|
508 |
488 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
16 |
$727.52 |
| 90461 |
|
145 |
108 |
$602.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
404 |
393 |
$345.80 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
15 |
15 |
$278.46 |
| 0001A |
|
14 |
14 |
$203.28 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
42 |
41 |
$171.36 |
| 0002A |
|
20 |
20 |
$170.34 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
14 |
$90.43 |
| 90656 |
|
21 |
19 |
$17.47 |
| 92551 |
|
170 |
166 |
$10.10 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
28 |
28 |
$0.00 |
| 3078F |
|
65 |
62 |
$0.00 |
| 90734 |
|
53 |
52 |
$0.00 |
| 99173 |
|
180 |
175 |
$0.00 |
| 91300 |
|
12 |
12 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
157 |
101 |
$0.00 |
| 3079F |
|
120 |
111 |
$0.00 |
| 3075F |
|
14 |
14 |
$0.00 |
| 3074F |
|
139 |
127 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
151 |
94 |
$0.00 |
| 1036F |
|
13 |
12 |
$0.00 |
| 91301 |
|
17 |
17 |
$0.00 |
| 90651 |
|
50 |
50 |
$0.00 |
| 96127 |
|
14 |
13 |
$0.00 |