| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,678 |
5,134 |
$807K |
| 3044F |
|
501 |
384 |
$140.00 |
| 1033F |
|
1,694 |
1,310 |
$0.00 |
| 1160F |
|
2,614 |
2,076 |
$0.00 |
| 3077F |
|
257 |
217 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
163 |
144 |
$0.00 |
| 3078F |
|
1,154 |
939 |
$0.00 |
| 1159F |
|
2,618 |
2,077 |
$0.00 |
| 81003 |
|
85 |
76 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
72 |
57 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
30 |
$0.00 |
| 1032F |
|
16 |
13 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
16 |
$0.00 |
| 1125F |
|
811 |
630 |
$0.00 |
| 3074F |
|
1,544 |
1,266 |
$0.00 |
| 3079F |
|
918 |
741 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,906 |
2,413 |
$0.00 |
| 1031F |
|
540 |
397 |
$0.00 |
| 3008F |
|
2,444 |
1,963 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
104 |
85 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
159 |
129 |
$0.00 |
| 3351F |
|
1,970 |
1,545 |
$0.00 |
| 1126F |
|
1,123 |
899 |
$0.00 |
| 3080F |
|
147 |
125 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,905 |
1,451 |
$0.00 |
| 3075F |
|
324 |
256 |
$0.00 |
| 4010F |
|
372 |
299 |
$0.00 |
| 4000F |
|
560 |
457 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
37 |
28 |
$0.00 |
| 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 |
28 |
$0.00 |
| 1036F |
|
93 |
78 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$0.00 |
| 1170F |
|
14 |
14 |
$0.00 |