| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,541 |
3,614 |
$474K |
| 99199 |
Unlisted special service, procedure or report |
20,491 |
9,184 |
$122K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
51 |
37 |
$4K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
193 |
155 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
270 |
175 |
$3K |
| 0002A |
|
66 |
36 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
278 |
167 |
$2K |
| 96160 |
|
563 |
371 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
87 |
60 |
$2K |
| 99383 |
|
17 |
13 |
$2K |
| 92551 |
|
353 |
239 |
$1K |
| 0001A |
|
30 |
17 |
$1K |
| 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 |
81 |
74 |
$828.10 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
64 |
45 |
$735.19 |
| 96127 |
|
119 |
86 |
$514.65 |
| 99173 |
|
294 |
209 |
$422.35 |
| 96161 |
|
273 |
167 |
$345.95 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
12 |
$171.70 |
| 99000 |
|
12 |
12 |
$0.00 |