| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
77,443 |
60,660 |
$13.80M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,600 |
19,234 |
$72K |
| 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 |
682 |
598 |
$69K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,446 |
7,842 |
$15K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
785 |
703 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,865 |
2,781 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$675.90 |
| G9920 |
Screening performed and negative |
46 |
33 |
$514.75 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
234 |
234 |
$220.83 |
| 81025 |
|
85 |
85 |
$154.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
589 |
581 |
$141.86 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
79 |
72 |
$35.00 |
| Z6204 |
|
1,985 |
1,904 |
$0.00 |
| 81000 |
|
2,133 |
1,793 |
$0.00 |
| 99381 |
|
356 |
355 |
$0.00 |
| 59430 |
|
340 |
326 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
421 |
419 |
$0.00 |
| 97802 |
|
96 |
95 |
$0.00 |
| Z6404 |
|
13 |
13 |
$0.00 |
| Z6410 |
|
70 |
65 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| 90688 |
|
13 |
13 |
$0.00 |
| 90686 |
|
91 |
90 |
$0.00 |
| 85018 |
|
147 |
146 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
32 |
31 |
$0.00 |
| Z6406 |
|
13 |
13 |
$0.00 |
| Z6414 |
|
136 |
136 |
$0.00 |
| 59426 |
|
3,122 |
1,978 |
$0.00 |
| Z6202 |
|
214 |
214 |
$0.00 |
| Z6400 |
|
1,790 |
1,776 |
$0.00 |
| 59425 |
|
3,146 |
2,452 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
92 |
92 |
$0.00 |
| 97803 |
|
697 |
493 |
$0.00 |
| Z6500 |
|
240 |
240 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
29 |
29 |
$0.00 |
| 82947 |
|
124 |
112 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
66 |
66 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
126 |
126 |
$0.00 |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
37 |
37 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
202 |
202 |
$0.00 |
| Z6200 |
|
26 |
26 |
$0.00 |
| 99173 |
|
44 |
44 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
27 |
27 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
104 |
104 |
$0.00 |
| Z6208 |
|
12 |
12 |
$0.00 |
| Z6304 |
|
13 |
13 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$0.00 |
| Z6302 |
|
13 |
13 |
$0.00 |
| 99442 |
|
20 |
20 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |