| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
36,097 |
30,841 |
$9.62M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
160 |
157 |
$1K |
| 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 |
1,005 |
834 |
$375.67 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
55 |
55 |
$47.26 |
| 92551 |
|
95 |
93 |
$44.88 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,004 |
6,974 |
$37.85 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
823 |
775 |
$33.94 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,936 |
1,818 |
$24.37 |
| 99173 |
|
463 |
431 |
$23.08 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,288 |
4,692 |
$19.89 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
55 |
55 |
$0.00 |
| 3008F |
|
1,282 |
1,138 |
$0.00 |
| 90686 |
|
535 |
495 |
$0.00 |
| 1111F |
|
794 |
728 |
$0.00 |
| 3079F |
|
416 |
391 |
$0.00 |
| 3074F |
|
916 |
826 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
57 |
52 |
$0.00 |
| 3075F |
|
54 |
52 |
$0.00 |
| 3048F |
|
27 |
26 |
$0.00 |
| 90656 |
|
46 |
46 |
$0.00 |
| 0011A |
|
25 |
25 |
$0.00 |
| 91301 |
|
127 |
60 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
33 |
30 |
$0.00 |
| 99383 |
|
13 |
13 |
$0.00 |
| 0012A |
|
16 |
14 |
$0.00 |
| 1160F |
|
1,580 |
1,393 |
$0.00 |
| 3078F |
|
558 |
508 |
$0.00 |
| 1159F |
|
1,564 |
1,374 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
508 |
483 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
138 |
137 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26 |
26 |
$0.00 |
| 81003 |
|
76 |
70 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
82 |
69 |
$0.00 |