| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
15,863 |
10,979 |
$1.26M |
| 99199 |
Unlisted special service, procedure or report |
70,491 |
43,112 |
$450K |
| 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 |
2,106 |
1,654 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,051 |
6,299 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
227 |
215 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,304 |
1,721 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
818 |
651 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
405 |
327 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
55 |
36 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
379 |
276 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
20 |
17 |
$1K |
| 92552 |
|
34 |
25 |
$234.10 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
110 |
58 |
$174.84 |
| 99173 |
|
51 |
38 |
$1.00 |
| 90688 |
|
42 |
35 |
$0.00 |
| 90686 |
|
18 |
16 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
187 |
181 |
$0.00 |
| 90756 |
|
19 |
13 |
$0.00 |