| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
40,329 |
32,694 |
$3.07M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,542 |
11,343 |
$339.43 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,145 |
11,067 |
$127.50 |
| 90686 |
|
27 |
18 |
$95.70 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
355 |
324 |
$35.33 |
| 81025 |
|
91 |
78 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
798 |
721 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
381 |
315 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,349 |
1,225 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,090 |
993 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
722 |
648 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
62 |
61 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
406 |
368 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
124 |
115 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
287 |
152 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
52 |
51 |
$0.00 |
| 81003 |
|
269 |
228 |
$0.00 |
| 80305 |
|
27 |
27 |
$0.00 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
39 |
39 |
$0.00 |
| 87807 |
|
126 |
112 |
$0.00 |
| 87428 |
|
525 |
483 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
164 |
131 |
$0.00 |
| 96127 |
|
63 |
58 |
$0.00 |