| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,190 |
2,843 |
$214K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,553 |
2,328 |
$112K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,704 |
1,938 |
$62K |
| 99406 |
|
2,438 |
1,302 |
$12K |
| 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 |
856 |
691 |
$10K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
782 |
487 |
$2K |
| 90674 |
|
55 |
41 |
$993.37 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
21 |
12 |
$845.58 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
92 |
67 |
$753.57 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
47 |
27 |
$670.02 |
| 90756 |
|
48 |
35 |
$385.13 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$90.61 |
| S9470 |
Nutritional counseling, dietitian visit |
2,637 |
1,417 |
$27.95 |
| 3074F |
|
1,630 |
920 |
$0.00 |
| 1000F |
|
186 |
167 |
$0.00 |
| 3008F |
|
1,990 |
1,097 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
52 |
47 |
$0.00 |
| 3079F |
|
937 |
547 |
$0.00 |
| 1036F |
|
137 |
76 |
$0.00 |
| 3044F |
|
24 |
12 |
$0.00 |
| 3080F |
|
35 |
14 |
$0.00 |
| 3078F |
|
908 |
500 |
$0.00 |
| 2028F |
|
13 |
13 |
$0.00 |