| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
14,116 |
10,788 |
$1.15M |
| 99199 |
Unlisted special service, procedure or report |
68,310 |
40,941 |
$423K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,521 |
1,704 |
$64K |
| 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 |
3,191 |
2,344 |
$59K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,528 |
4,526 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,013 |
2,291 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
91 |
80 |
$2K |
| 87428 |
|
104 |
62 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
429 |
256 |
$2K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
51 |
51 |
$683.30 |
| 92552 |
|
103 |
66 |
$524.69 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
291 |
231 |
$468.80 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
53 |
27 |
$466.14 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
70 |
52 |
$429.75 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
85 |
46 |
$29.14 |
| 99173 |
|
96 |
69 |
$5.00 |
| 99406 |
|
46 |
40 |
$0.00 |