| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
21,303 |
16,229 |
$9.14M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,269 |
8,122 |
$460K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,405 |
5,647 |
$265K |
| 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 |
2,352 |
1,849 |
$66K |
| 99215 |
Prolong outpt/office vis |
80 |
69 |
$5K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
312 |
279 |
$4K |
| 91322 |
|
38 |
38 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
193 |
165 |
$3K |
| 0012A |
|
143 |
124 |
$3K |
| 90480 |
|
73 |
72 |
$3K |
| 0013A |
|
54 |
48 |
$2K |
| 0011A |
|
127 |
119 |
$2K |
| 0002A |
|
50 |
50 |
$1K |
| 0134A |
|
25 |
25 |
$974.00 |
| 80305 |
|
57 |
50 |
$677.05 |
| 0064A |
|
16 |
16 |
$600.00 |
| 0071A |
|
16 |
14 |
$560.00 |
| 0001A |
|
35 |
35 |
$514.32 |
| 36415 |
Collection of venous blood by venipuncture |
139 |
121 |
$320.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
17 |
$32.80 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
12 |
$16.40 |
| 91301 |
|
435 |
392 |
$0.00 |
| 91307 |
|
33 |
31 |
$0.00 |
| 91306 |
|
16 |
16 |
$0.00 |
| 91300 |
|
113 |
105 |
$0.00 |
| 97810 |
|
50 |
28 |
$0.00 |
| 91313 |
|
25 |
25 |
$0.00 |
| 97811 |
|
22 |
14 |
$0.00 |