| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
10,628 |
7,708 |
$594K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,140 |
6,829 |
$22K |
| 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 |
905 |
683 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,909 |
1,113 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
88 |
50 |
$967.12 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
202 |
105 |
$205.79 |
| 90674 |
|
97 |
55 |
$200.00 |
| 82962 |
|
138 |
72 |
$86.67 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
94 |
54 |
$48.22 |
| 81002 |
|
208 |
130 |
$43.29 |
| 3078F |
|
1,229 |
590 |
$0.00 |
| 1160F |
|
1,158 |
540 |
$0.00 |
| 1159F |
|
1,245 |
574 |
$0.00 |
| 90661 |
|
22 |
14 |
$0.00 |
| 3077F |
|
174 |
95 |
$0.00 |
| 86328 |
|
24 |
12 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
17 |
13 |
$0.00 |
| 3075F |
|
171 |
93 |
$0.00 |
| 3074F |
|
1,173 |
564 |
$0.00 |
| 1125F |
|
443 |
238 |
$0.00 |
| 3079F |
|
367 |
200 |
$0.00 |
| 1126F |
|
1,074 |
534 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
855 |
484 |
$0.00 |
| 85018 |
|
21 |
13 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
19 |
14 |
$0.00 |