| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
11,843 |
10,624 |
$2.38M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,149 |
4,725 |
$247K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,025 |
1,916 |
$93K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
537 |
526 |
$34K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
282 |
276 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
218 |
216 |
$14K |
| 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 |
279 |
253 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
68 |
68 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
48 |
48 |
$3K |
| 99381 |
|
15 |
15 |
$895.58 |
| 90670 |
|
328 |
325 |
$216.82 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,935 |
1,808 |
$146.02 |
| 90686 |
|
927 |
926 |
$127.79 |
| 90461 |
|
1,058 |
703 |
$11.82 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
214 |
211 |
$0.03 |
| 90633 |
|
94 |
94 |
$0.00 |
| 90710 |
|
57 |
56 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90648 |
|
147 |
145 |
$0.00 |
| 81002 |
|
12 |
12 |
$0.00 |
| 90680 |
|
138 |
135 |
$0.00 |
| 90677 |
|
15 |
15 |
$0.00 |
| 90723 |
|
62 |
61 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |