| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
15,206 |
11,401 |
$3.33M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,512 |
8,810 |
$303K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,255 |
3,488 |
$101K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,954 |
2,505 |
$55K |
| 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 |
246 |
200 |
$49K |
| 90686 |
|
776 |
698 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
96 |
92 |
$5K |
| 90688 |
|
219 |
200 |
$4K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,825 |
1,205 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
412 |
366 |
$3K |
| 92552 |
|
204 |
181 |
$2K |
| 90715 |
|
67 |
62 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
71 |
64 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
168 |
166 |
$2K |
| 93000 |
|
70 |
45 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
26 |
$1K |
| 90651 |
|
34 |
27 |
$798.85 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,274 |
1,395 |
$685.67 |
| 82948 |
|
304 |
241 |
$572.57 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
111 |
105 |
$492.46 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
13 |
13 |
$298.87 |
| 81002 |
|
179 |
157 |
$253.27 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
12 |
12 |
$211.77 |
| 85018 |
|
148 |
130 |
$169.32 |
| 86580 |
|
30 |
28 |
$94.08 |
| 81003 |
|
42 |
31 |
$45.95 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
24 |
12 |
$39.16 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
26 |
23 |
$38.74 |
| 3008F |
|
13 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
124 |
124 |
$0.00 |