| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
6,357 |
5,545 |
$672K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,886 |
2,563 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,290 |
2,061 |
$36K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
122 |
118 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
78 |
33 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
1,258 |
1,148 |
$5K |
| 87428 |
|
161 |
155 |
$3K |
| 99173 |
|
42 |
40 |
$505.76 |
| 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 |
480 |
353 |
$199.62 |
| 1160F |
|
1,104 |
988 |
$0.00 |
| 3078F |
|
425 |
391 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
13 |
$0.00 |
| 3074F |
|
606 |
559 |
$0.00 |
| 1000F |
|
958 |
857 |
$0.00 |
| 3351F |
|
338 |
309 |
$0.00 |
| 99000 |
|
99 |
92 |
$0.00 |
| D9999 |
Unspecified adjunctive procedure, by report |
37 |
28 |
$0.00 |
| 3079F |
|
61 |
53 |
$0.00 |
| 3080F |
|
13 |
12 |
$0.00 |
| 4000F |
|
12 |
12 |
$0.00 |