| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,545 |
3,494 |
$214K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,017 |
3,399 |
$22K |
| 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 |
429 |
340 |
$6K |
| 92552 |
|
244 |
241 |
$372.24 |
| 92081 |
|
244 |
241 |
$260.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
24 |
24 |
$157.48 |
| 81002 |
|
576 |
548 |
$133.82 |
| 82962 |
|
34 |
27 |
$60.48 |
| 85018 |
|
197 |
194 |
$27.44 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
17 |
$4.68 |
| 90688 |
|
27 |
15 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
262 |
252 |
$0.00 |
| 90674 |
|
16 |
16 |
$0.00 |
| 82271 |
|
12 |
12 |
$0.00 |