| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
15,966 |
12,867 |
$1.50M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,689 |
13,865 |
$389K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,778 |
2,967 |
$106K |
| 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 |
4,568 |
3,881 |
$104K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,696 |
1,216 |
$40K |
| J3490 |
Unclassified drugs |
474 |
402 |
$33K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
257 |
222 |
$29K |
| 80305 |
|
4,676 |
2,620 |
$25K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
25 |
25 |
$3K |
| 81025 |
|
617 |
575 |
$2K |
| 99201 |
|
49 |
33 |
$1K |
| A4267 |
Contraceptive supply, condom, male, each |
241 |
231 |
$1K |
| 90656 |
|
198 |
148 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
79 |
78 |
$1K |
| 90658 |
|
14 |
14 |
$317.80 |
| 81000 |
|
168 |
143 |
$220.80 |