| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
9,646 |
8,810 |
$713K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,247 |
6,338 |
$186K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,328 |
2,306 |
$90K |
| 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 |
883 |
809 |
$24K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
803 |
490 |
$22K |
| 96127 |
|
5,789 |
3,447 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
273 |
172 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
261 |
154 |
$2K |
| 90686 |
|
375 |
223 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
219 |
149 |
$758.29 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
40 |
24 |
$757.29 |
| 88142 |
|
62 |
38 |
$678.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
98 |
63 |
$641.08 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
23 |
13 |
$564.41 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
56 |
39 |
$553.50 |
| 90756 |
|
52 |
31 |
$464.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
51 |
33 |
$359.55 |
| 90715 |
|
17 |
15 |
$341.49 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
24 |
$57.76 |
| 4004F |
|
2,520 |
1,410 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
9,195 |
5,097 |
$0.00 |
| 3078F |
|
7,351 |
4,151 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
307 |
174 |
$0.00 |
| 3077F |
|
517 |
298 |
$0.00 |
| 3050F |
|
87 |
50 |
$0.00 |
| 3079F |
|
6,042 |
3,429 |
$0.00 |
| 1036F |
|
8,612 |
4,875 |
$0.00 |
| 2001F |
|
11,263 |
6,453 |
$0.00 |
| 3075F |
|
1,636 |
937 |
$0.00 |
| 3008F |
|
11,226 |
6,448 |
$0.00 |
| 3048F |
|
1,506 |
832 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
9,681 |
5,374 |
$0.00 |
| 3074F |
|
10,039 |
5,641 |
$0.00 |
| 1111F |
|
1,062 |
701 |
$0.00 |
| 3049F |
|
236 |
126 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
72 |
43 |
$0.00 |
| 3080F |
|
21 |
14 |
$0.00 |
| 99000 |
|
26 |
13 |
$0.00 |