| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
9,163 |
7,474 |
$1.47M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
158 |
145 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
43 |
38 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
39 |
38 |
$1K |
| 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 |
56 |
50 |
$971.01 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
13 |
$732.12 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
69 |
41 |
$506.54 |
| 90688 |
|
13 |
13 |
$124.28 |
| 90686 |
|
12 |
12 |
$105.60 |
| 87430 |
|
711 |
681 |
$12.87 |
| 36415 |
Collection of venous blood by venipuncture |
521 |
485 |
$1.82 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
72 |
35 |
$0.00 |
| 81003 |
|
38 |
38 |
$0.00 |
| 87631 |
|
489 |
469 |
$0.00 |
| 87400 |
|
179 |
166 |
$0.00 |
| 87420 |
|
116 |
111 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20 |
19 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
216 |
197 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26 |
24 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
236 |
216 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
15 |
14 |
$0.00 |