| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
19,025 |
12,724 |
$2.94M |
| 0012A |
|
204 |
124 |
$8K |
| 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 |
121 |
89 |
$5K |
| 0011A |
|
113 |
77 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,472 |
1,145 |
$1K |
| 0031A |
|
14 |
12 |
$453.90 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
780 |
697 |
$36.20 |
| 81002 |
|
145 |
143 |
$14.84 |
| 92552 |
|
12 |
12 |
$0.00 |
| 1159F |
|
211 |
175 |
$0.00 |
| G9920 |
Screening performed and negative |
15 |
15 |
$0.00 |
| 3078F |
|
140 |
126 |
$0.00 |
| 92081 |
|
14 |
14 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
275 |
267 |
$0.00 |
| 3008F |
|
291 |
259 |
$0.00 |
| 1036F |
|
280 |
215 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
39 |
39 |
$0.00 |
| 90686 |
|
20 |
20 |
$0.00 |
| 3074F |
|
167 |
150 |
$0.00 |
| 3079F |
|
16 |
14 |
$0.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
14 |
14 |
$0.00 |
| 90656 |
|
14 |
14 |
$0.00 |