| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
69,192 |
41,426 |
$3.68M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46,414 |
30,069 |
$54K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,763 |
4,421 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,343 |
1,838 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,847 |
1,473 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,959 |
2,192 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
69 |
43 |
$560.50 |
| 90658 |
|
53 |
50 |
$494.48 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,856 |
5,122 |
$245.50 |
| 90756 |
|
21 |
18 |
$25.00 |
| 4004F |
|
185 |
156 |
$0.00 |
| 3078F |
|
380 |
321 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
98 |
71 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
30 |
24 |
$0.00 |
| 81003 |
|
44 |
26 |
$0.00 |
| 3077F |
|
12 |
12 |
$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 |
2,907 |
1,830 |
$0.00 |
| 3008F |
|
4,170 |
3,573 |
$0.00 |
| 3351F |
|
1,800 |
1,638 |
$0.00 |
| 3074F |
|
482 |
410 |
$0.00 |
| 1000F |
|
2,288 |
2,024 |
$0.00 |
| 1034F |
|
338 |
258 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
89 |
59 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
272 |
175 |
$0.00 |
| 3079F |
|
84 |
79 |
$0.00 |
| 99406 |
|
51 |
45 |
$0.00 |
| 1220F |
|
47 |
44 |
$0.00 |
| 0011A |
|
13 |
12 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
35 |
27 |
$0.00 |