| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
4,273 |
3,753 |
$882K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,931 |
2,604 |
$125.00 |
| 36415 |
Collection of venous blood by venipuncture |
43 |
42 |
$15.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
20 |
$13.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
949 |
865 |
$0.00 |
| 3008F |
|
401 |
377 |
$0.00 |
| 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 |
60 |
53 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
129 |
126 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
36 |
36 |
$0.00 |