| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
15,468 |
12,851 |
$2.28M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
712 |
617 |
$34K |
| 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 |
1,424 |
1,204 |
$29K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
333 |
289 |
$15K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
549 |
507 |
$5K |
| 90670 |
|
297 |
288 |
$3K |
| 90680 |
|
200 |
196 |
$2K |
| 0001A |
|
30 |
28 |
$2K |
| 90697 |
|
193 |
183 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,286 |
2,017 |
$2K |
| 0002A |
|
30 |
28 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
38 |
30 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
2,385 |
2,201 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
40 |
39 |
$1K |
| 90756 |
|
76 |
74 |
$777.15 |
| 90723 |
|
76 |
76 |
$730.00 |
| 90647 |
|
72 |
72 |
$680.00 |
| 90677 |
|
59 |
58 |
$550.00 |
| 90688 |
|
44 |
43 |
$390.28 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
30 |
18 |
$213.28 |
| 90686 |
|
16 |
15 |
$120.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
38 |
$32.00 |
| 90656 |
|
18 |
17 |
$20.00 |
| 80053 |
Comprehensive metabolic panel |
1,224 |
1,158 |
$17.63 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,426 |
1,347 |
$12.89 |
| 81003 |
|
204 |
195 |
$3.20 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
182 |
177 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
14 |
$0.00 |
| 87430 |
|
34 |
34 |
$0.00 |
| 85018 |
|
17 |
17 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
13 |
13 |
$0.00 |
| 87631 |
|
351 |
330 |
$0.00 |
| 80061 |
Lipid panel |
274 |
258 |
$0.00 |
| 87400 |
|
104 |
101 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
76 |
38 |
$0.00 |
| 99490 |
Ccm add 20min |
12 |
12 |
$0.00 |