| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,410 |
2,734 |
$201K |
| T1015 |
Clinic visit/encounter, all-inclusive |
4,561 |
4,065 |
$40K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
511 |
414 |
$39K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
437 |
342 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
162 |
138 |
$11K |
| 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 |
738 |
604 |
$8K |
| 99215 |
Prolong outpt/office vis |
36 |
29 |
$3K |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
120 |
73 |
$2K |
| 90686 |
|
25 |
17 |
$58.74 |
| 3078F |
|
252 |
244 |
$0.00 |
| 3079F |
|
25 |
24 |
$0.00 |
| 3074F |
|
335 |
322 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
103 |
48 |
$0.00 |