| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,600 |
3,142 |
$352K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,993 |
2,657 |
$120K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
315 |
295 |
$20K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
633 |
568 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,156 |
520 |
$8K |
| 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 |
208 |
194 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
651 |
588 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
78 |
71 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
49 |
45 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
12 |
$504.92 |
| 99406 |
|
46 |
42 |
$68.34 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$56.45 |
| 81003 |
|
44 |
37 |
$32.13 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
782 |
687 |
$0.00 |
| 3028F |
|
282 |
232 |
$0.00 |
| 3078F |
|
98 |
84 |
$0.00 |
| 4145F |
|
33 |
24 |
$0.00 |
| 3077F |
|
96 |
80 |
$0.00 |
| 4120F |
|
85 |
78 |
$0.00 |
| 3074F |
|
130 |
108 |
$0.00 |
| 3351F |
|
140 |
126 |
$0.00 |
| 2000F |
|
274 |
225 |
$0.00 |
| 2010F |
|
278 |
230 |
$0.00 |
| 3008F |
|
260 |
215 |
$0.00 |
| 3079F |
|
98 |
89 |
$0.00 |
| 96127 |
|
52 |
49 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
13 |
12 |
$0.00 |
| 3075F |
|
17 |
16 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
23 |
23 |
$0.00 |
| 3080F |
|
14 |
12 |
$0.00 |
| 3011F |
|
15 |
14 |
$0.00 |