| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
41,655 |
31,706 |
$4.71M |
| D9430 |
|
302 |
185 |
$31K |
| 90688 |
|
313 |
275 |
$4K |
| 90674 |
|
188 |
186 |
$3K |
| 90651 |
|
138 |
132 |
$2K |
| 90734 |
|
58 |
56 |
$1K |
| 90715 |
|
58 |
57 |
$949.92 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,273 |
12,367 |
$262.04 |
| 90656 |
|
13 |
13 |
$201.15 |
| 90658 |
|
14 |
14 |
$118.80 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
568 |
459 |
$11.12 |
| 36415 |
Collection of venous blood by venipuncture |
15,477 |
10,413 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,808 |
7,573 |
$0.00 |
| 99000 |
|
309 |
264 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
177 |
162 |
$0.00 |
| 92551 |
|
356 |
306 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
478 |
305 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
79 |
66 |
$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 |
627 |
606 |
$0.00 |
| 96127 |
|
33 |
25 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
104 |
65 |
$0.00 |
| 0001A |
|
27 |
27 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
39 |
25 |
$0.00 |
| 0012A |
|
43 |
43 |
$0.00 |
| 0011A |
|
45 |
45 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
49 |
30 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
19 |
12 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
307 |
216 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,349 |
535 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
999 |
786 |
$0.00 |
| 99173 |
|
445 |
371 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
657 |
482 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
715 |
507 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
37 |
27 |
$0.00 |
| 81025 |
|
14 |
12 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
20 |
18 |
$0.00 |
| 90756 |
|
40 |
39 |
$0.00 |