| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
15,690 |
13,299 |
$6.62M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,188 |
3,700 |
$260K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,398 |
4,746 |
$222K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
455 |
333 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
574 |
459 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
175 |
164 |
$5K |
| 0012A |
|
91 |
91 |
$2K |
| 90686 |
|
170 |
161 |
$2K |
| 0011A |
|
129 |
129 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
542 |
496 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
149 |
142 |
$1K |
| 90688 |
|
91 |
88 |
$1K |
| 92552 |
|
36 |
36 |
$685.08 |
| 83655 |
|
55 |
53 |
$592.48 |
| 90674 |
|
33 |
29 |
$330.00 |
| 80306 |
|
37 |
26 |
$231.92 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
13 |
$199.41 |
| 36416 |
|
15 |
15 |
$92.64 |
| 90685 |
|
12 |
12 |
$71.52 |
| 99173 |
|
44 |
44 |
$63.27 |
| 91301 |
|
230 |
222 |
$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 |
71 |
54 |
$0.00 |
| 99001 |
|
66 |
50 |
$0.00 |