| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,782 |
5,645 |
$559K |
| 59426 |
|
4,638 |
2,916 |
$480K |
| 59425 |
|
4,140 |
3,160 |
$422K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
993 |
766 |
$78K |
| 59410 |
|
30 |
25 |
$18K |
| T1017 |
Targeted case management, each 15 minutes |
30 |
12 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 59430 |
|
32 |
25 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
988 |
887 |
$636.33 |
| 81025 |
|
8,600 |
6,800 |
$541.44 |
| T1015 |
Clinic visit/encounter, all-inclusive |
68 |
48 |
$277.10 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,297 |
2,072 |
$153.60 |
| 81002 |
|
6,570 |
4,706 |
$134.13 |
| 3015F |
|
82 |
77 |
$0.00 |
| 3078F |
|
6,337 |
4,349 |
$0.00 |
| 3077F |
|
179 |
131 |
$0.00 |
| 0502F |
|
79 |
69 |
$0.00 |
| 3074F |
|
7,640 |
5,198 |
$0.00 |
| 81000 |
|
1,176 |
987 |
$0.00 |
| 3080F |
|
128 |
93 |
$0.00 |
| 3079F |
|
2,267 |
1,748 |
$0.00 |
| 3351F |
|
947 |
683 |
$0.00 |
| 3008F |
|
5,447 |
3,338 |
$0.00 |
| 3075F |
|
859 |
695 |
$0.00 |
| 1036F |
|
77 |
70 |
$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 |
99 |
84 |
$0.00 |
| 88142 |
|
61 |
44 |
$0.00 |
| 0501F |
|
1,273 |
984 |
$0.00 |
| 1000F |
|
102 |
92 |
$0.00 |
| 0500F |
|
141 |
127 |
$0.00 |