| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,396 |
4,401 |
$745K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,655 |
2,276 |
$117K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
433 |
392 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
688 |
630 |
$18K |
| 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 |
503 |
411 |
$16K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
649 |
597 |
$11K |
| 87428 |
|
392 |
368 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,121 |
1,003 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
101 |
100 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
506 |
452 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
417 |
201 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
18 |
$938.60 |
| 90686 |
|
64 |
62 |
$334.99 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
13 |
$79.47 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
116 |
114 |
$67.45 |
| 3078F |
|
41 |
35 |
$0.00 |
| 99173 |
|
12 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16 |
16 |
$0.00 |
| 91301 |
|
12 |
12 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
49 |
37 |
$0.00 |
| 3074F |
|
84 |
69 |
$0.00 |