| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,103 |
6,708 |
$424K |
| T1015 |
Clinic visit/encounter, all-inclusive |
11,347 |
9,159 |
$199K |
| 59425 |
|
3,434 |
2,319 |
$196K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,685 |
1,417 |
$112K |
| 59426 |
|
1,150 |
775 |
$86K |
| 59430 |
|
430 |
298 |
$56K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,429 |
1,246 |
$46K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
390 |
306 |
$19K |
| 81002 |
|
4,979 |
3,361 |
$12K |
| 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 |
406 |
321 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
868 |
642 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
95 |
76 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
96 |
91 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
99 |
80 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,037 |
921 |
$6K |
| 99385 |
|
69 |
61 |
$6K |
| 90686 |
|
612 |
556 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
74 |
63 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
2,020 |
1,568 |
$4K |
| 0011A |
|
200 |
158 |
$4K |
| 0012A |
|
130 |
111 |
$4K |
| 81025 |
|
589 |
500 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
30 |
$3K |
| 92552 |
|
199 |
165 |
$2K |
| 90674 |
|
116 |
93 |
$2K |
| 96158 |
|
73 |
59 |
$2K |
| 0001A |
|
38 |
37 |
$1K |
| 0064A |
|
42 |
35 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
257 |
220 |
$872.27 |
| 0031A |
|
33 |
28 |
$872.04 |
| 99354 |
|
12 |
12 |
$708.74 |
| 90715 |
|
19 |
13 |
$600.00 |
| 0124A |
|
37 |
17 |
$590.40 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
777 |
736 |
$579.32 |
| 0002A |
|
12 |
12 |
$446.52 |
| 90651 |
|
28 |
26 |
$240.00 |
| 92551 |
|
43 |
38 |
$163.62 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
13 |
$158.07 |
| 94760 |
|
77 |
67 |
$121.53 |
| 90656 |
|
23 |
18 |
$19.93 |
| 85018 |
|
312 |
291 |
$0.00 |
| 90697 |
|
29 |
25 |
$0.00 |
| 87428 |
|
23 |
21 |
$0.00 |
| 90670 |
|
54 |
46 |
$0.00 |