| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,751 |
5,418 |
$943K |
| 3044F |
|
453 |
355 |
$190.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,443 |
1,905 |
$166.12 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,077 |
3,054 |
$0.00 |
| 11596 |
|
404 |
359 |
$0.00 |
| 1170F |
|
130 |
111 |
$0.00 |
| 1126F |
|
1,712 |
1,316 |
$0.00 |
| 3351F |
|
1,532 |
1,209 |
$0.00 |
| 1125F |
|
1,048 |
842 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
63 |
31 |
$0.00 |
| 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 |
1,022 |
876 |
$0.00 |
| 4000F |
|
236 |
192 |
$0.00 |
| 3074F |
|
1,417 |
1,162 |
$0.00 |
| 1031F |
|
900 |
703 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
442 |
349 |
$0.00 |
| 3079F |
|
791 |
639 |
$0.00 |
| 11606 |
|
372 |
330 |
$0.00 |
| 3075F |
|
356 |
289 |
$0.00 |
| 3008F |
|
2,651 |
2,056 |
$0.00 |
| 33516 |
|
78 |
71 |
$0.00 |
| 3080F |
|
212 |
165 |
$0.00 |
| 4010F |
|
957 |
714 |
$0.00 |
| 1036F |
|
160 |
137 |
$0.00 |
| 11256 |
|
43 |
37 |
$0.00 |
| 11266 |
|
74 |
71 |
$0.00 |
| 82962 |
|
149 |
83 |
$0.00 |
| 40106 |
|
167 |
154 |
$0.00 |
| 90674 |
|
39 |
17 |
$0.00 |
| 11706 |
|
16 |
15 |
$0.00 |
| 10316 |
|
54 |
49 |
$0.00 |
| 1160F |
|
3,158 |
2,401 |
$0.00 |
| 1033F |
|
1,439 |
1,139 |
$0.00 |
| 30086 |
|
344 |
309 |
$0.00 |
| 1159F |
|
3,157 |
2,399 |
$0.00 |
| 3077F |
|
298 |
216 |
$0.00 |
| 1032F |
|
119 |
96 |
$0.00 |
| 3078F |
|
1,324 |
1,063 |
$0.00 |
| 30446 |
|
63 |
58 |
$0.00 |
| 30746 |
|
55 |
51 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
410 |
354 |
$0.00 |
| 81003 |
|
64 |
54 |
$0.00 |
| 30756 |
|
12 |
12 |
$0.00 |
| 30786 |
|
138 |
127 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
69 |
56 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
15 |
$0.00 |
| 10366 |
|
32 |
28 |
$0.00 |
| 91322 |
|
55 |
38 |
$0.00 |
| 90756 |
|
35 |
29 |
$0.00 |
| 90661 |
|
17 |
13 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
19 |
12 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33 |
15 |
$0.00 |
| 30776 |
|
15 |
14 |
$0.00 |