| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
19,165 |
14,609 |
$2.37M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,805 |
7,461 |
$194K |
| 98940 |
|
6,640 |
4,897 |
$115K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,057 |
4,614 |
$95K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,032 |
868 |
$70K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,595 |
1,566 |
$65K |
| 59425 |
|
1,025 |
658 |
$62K |
| 97810 |
|
3,202 |
2,209 |
$36K |
| 97811 |
|
2,635 |
1,841 |
$31K |
| 81025 |
|
7,067 |
6,782 |
$16K |
| J3490 |
Unclassified drugs |
631 |
604 |
$14K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
202 |
199 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
333 |
324 |
$6K |
| 81002 |
|
3,587 |
3,141 |
$5K |
| 90686 |
|
66 |
65 |
$1K |
| 87210 |
|
461 |
446 |
$1K |
| 99215 |
Prolong outpt/office vis |
40 |
39 |
$892.32 |
| A4267 |
Contraceptive supply, condom, male, each |
42 |
41 |
$105.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
172 |
158 |
$1.74 |
| Z1034 |
|
1,016 |
849 |
$0.00 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
912 |
584 |
$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 |
221 |
156 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$0.00 |