| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
20,663 |
16,149 |
$4.38M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,833 |
12,536 |
$91K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,699 |
2,809 |
$35K |
| 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 |
388 |
326 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,034 |
2,858 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
533 |
381 |
$2K |
| 90686 |
|
675 |
541 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,242 |
885 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
19 |
12 |
$814.96 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
83 |
65 |
$683.10 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
30 |
25 |
$620.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
720 |
502 |
$580.04 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
58 |
43 |
$450.75 |
| 90656 |
|
62 |
42 |
$316.97 |
| 90746 |
|
20 |
12 |
$296.36 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
20 |
12 |
$293.47 |
| 82962 |
|
746 |
421 |
$289.32 |
| 90715 |
|
51 |
42 |
$267.30 |
| 90688 |
|
27 |
27 |
$110.40 |
| 92552 |
|
74 |
59 |
$66.08 |
| 81003 |
|
250 |
199 |
$65.34 |
| J1071 |
Injection, testosterone cypionate, 1 mg |
32 |
25 |
$58.31 |
| 81002 |
|
90 |
89 |
$56.31 |
| 82948 |
|
442 |
398 |
$55.96 |
| 90630 |
|
20 |
13 |
$54.88 |
| 3074F |
|
889 |
810 |
$0.00 |
| 3008F |
|
5,387 |
4,580 |
$0.00 |
| 3079F |
|
202 |
190 |
$0.00 |
| 3075F |
|
234 |
224 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| 1159F |
|
6,785 |
5,371 |
$0.00 |
| 1160F |
|
6,033 |
4,914 |
$0.00 |
| 3078F |
|
984 |
884 |
$0.00 |
| 3077F |
|
30 |
26 |
$0.00 |