| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
23,143 |
19,522 |
$5.81M |
| 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 |
522 |
404 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,150 |
3,586 |
$141.78 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,452 |
4,695 |
$114.69 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
73 |
70 |
$46.02 |
| 0012A |
|
14 |
12 |
$0.31 |
| 1158F |
|
108 |
96 |
$0.00 |
| 1160F |
|
1,853 |
1,660 |
$0.00 |
| 3078F |
|
991 |
920 |
$0.00 |
| 1159F |
|
1,840 |
1,649 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
60 |
60 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
17 |
15 |
$0.00 |
| 3008F |
|
1,724 |
1,551 |
$0.00 |
| 3074F |
|
1,250 |
1,154 |
$0.00 |
| 1111F |
|
1,857 |
1,663 |
$0.00 |
| 0011A |
|
12 |
12 |
$0.00 |
| 3079F |
|
502 |
466 |
$0.00 |
| 90686 |
|
169 |
140 |
$0.00 |
| 3048F |
|
32 |
29 |
$0.00 |
| 3044F |
|
14 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
241 |
207 |
$0.00 |
| 3075F |
|
111 |
107 |
$0.00 |
| 91301 |
|
54 |
31 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
47 |
44 |
$0.00 |