| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,274 |
2,617 |
$717K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,583 |
1,459 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
154 |
142 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
151 |
132 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
56 |
56 |
$2K |
| 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 |
65 |
64 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
148 |
131 |
$777.84 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
139 |
122 |
$695.00 |
| 90682 |
|
28 |
26 |
$618.11 |
| 90686 |
|
86 |
85 |
$446.44 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
171 |
166 |
$21.59 |
| 81003 |
|
12 |
12 |
$9.45 |