| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
9,763 |
8,306 |
$1.63M |
| 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 |
553 |
462 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,077 |
3,448 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,818 |
1,619 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
151 |
116 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
301 |
263 |
$330.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
183 |
174 |
$177.15 |
| 92551 |
|
254 |
243 |
$122.32 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
150 |
148 |
$109.66 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
80 |
75 |
$87.70 |
| 90688 |
|
49 |
45 |
$66.90 |
| 99173 |
|
272 |
255 |
$51.12 |
| 86403 |
|
18 |
14 |
$37.24 |
| 82947 |
|
210 |
174 |
$34.92 |
| 85018 |
|
311 |
296 |
$24.76 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
116 |
100 |
$24.00 |
| 90715 |
|
30 |
27 |
$18.00 |
| 90651 |
|
79 |
73 |
$9.00 |
| 90734 |
|
45 |
43 |
$9.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
192 |
173 |
$8.90 |
| 81000 |
|
14 |
12 |
$5.48 |
| 85014 |
|
66 |
63 |
$4.22 |
| 81003 |
|
29 |
25 |
$1.96 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
643 |
631 |
$0.00 |
| 3044F |
|
75 |
60 |
$0.00 |
| 90686 |
|
32 |
32 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |
| 3074F |
|
25 |
24 |
$0.00 |
| 1126F |
|
28 |
27 |
$0.00 |
| 3078F |
|
31 |
30 |
$0.00 |
| 1159F |
|
34 |
33 |
$0.00 |