| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
14,851 |
12,927 |
$2.57M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,435 |
8,226 |
$84K |
| 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 |
1,404 |
1,182 |
$52K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,485 |
1,436 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
502 |
474 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
12 |
12 |
$496.56 |
| 92081 |
|
12 |
12 |
$395.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
62 |
50 |
$207.00 |
| 90686 |
|
32 |
28 |
$190.67 |
| 85018 |
|
388 |
382 |
$164.24 |
| 87420 |
|
15 |
15 |
$43.80 |
| 3074F |
|
1,116 |
1,002 |
$0.00 |
| 3079F |
|
36 |
32 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
14 |
$0.00 |
| 3078F |
|
1,135 |
1,019 |
$0.00 |
| 82948 |
|
71 |
69 |
$0.00 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
25 |
25 |
$0.00 |
| 99442 |
|
33 |
33 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
14 |
14 |
$0.00 |
| 92552 |
|
68 |
68 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$0.00 |