| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,861 |
7,043 |
$395K |
| 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 |
1,263 |
1,154 |
$45K |
| 90677 |
|
78 |
78 |
$8K |
| 96127 |
|
615 |
495 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
522 |
485 |
$5K |
| 90715 |
|
178 |
178 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
207 |
203 |
$4K |
| 90686 |
|
318 |
318 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
176 |
168 |
$3K |
| 83037 |
|
293 |
292 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
146 |
146 |
$2K |
| 81025 |
|
164 |
164 |
$1K |
| 90739 |
|
25 |
25 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
160 |
157 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
148 |
148 |
$888.00 |
| 99188 |
|
34 |
34 |
$884.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
58 |
57 |
$830.53 |
| 97802 |
|
26 |
26 |
$828.82 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
66 |
65 |
$712.32 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
180 |
178 |
$698.70 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
217 |
217 |
$666.00 |
| 81002 |
|
146 |
144 |
$448.22 |
| 90670 |
|
62 |
62 |
$150.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
91 |
91 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
63 |
63 |
$0.00 |
| 90648 |
|
100 |
100 |
$0.00 |
| 90633 |
|
40 |
40 |
$0.00 |
| 90671 |
|
14 |
14 |
$0.00 |
| 92558 |
|
161 |
161 |
$0.00 |
| 90680 |
|
26 |
26 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
787 |
747 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
150 |
145 |
$0.00 |
| 90723 |
|
39 |
39 |
$0.00 |
| 91301 |
|
12 |
12 |
$0.00 |