| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,879 |
6,030 |
$421K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,397 |
3,715 |
$318K |
| T1015 |
Clinic visit/encounter, all-inclusive |
9,334 |
4,895 |
$202K |
| 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 |
1,043 |
857 |
$27K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
731 |
433 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
899 |
625 |
$7K |
| 90682 |
|
198 |
131 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
373 |
293 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
428 |
139 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
177 |
116 |
$5K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
96 |
86 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
95 |
64 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
13 |
$975.11 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
122 |
86 |
$823.43 |
| 90686 |
|
113 |
99 |
$749.23 |
| 36415 |
Collection of venous blood by venipuncture |
185 |
146 |
$400.40 |
| 36416 |
|
107 |
81 |
$239.95 |
| 96150 |
|
54 |
44 |
$82.16 |
| 81002 |
|
24 |
12 |
$78.64 |
| G0008 |
Administration of influenza virus vaccine |
16 |
13 |
$0.00 |