| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
16,735 |
14,202 |
$1.66M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,830 |
6,034 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,055 |
2,797 |
$2K |
| 94760 |
|
909 |
827 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
876 |
871 |
$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 |
111 |
92 |
$0.00 |
| 99000 |
|
190 |
183 |
$0.00 |
| 92551 |
|
118 |
115 |
$0.00 |
| 87428 |
|
322 |
307 |
$0.00 |
| 90686 |
|
14 |
14 |
$0.00 |
| 81003 |
|
57 |
55 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
387 |
384 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
101 |
94 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
222 |
218 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
235 |
148 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
68 |
67 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
155 |
151 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27 |
27 |
$0.00 |
| 99173 |
|
17 |
17 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
49 |
49 |
$0.00 |