| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
29,326 |
26,775 |
$7.11M |
| 0124A |
|
40 |
40 |
$1K |
| 0134A |
|
48 |
48 |
$960.00 |
| 0002A |
|
15 |
15 |
$330.34 |
| 0064A |
|
38 |
38 |
$200.00 |
| 90686 |
|
565 |
564 |
$22.35 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
415 |
402 |
$22.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,426 |
1,411 |
$20.00 |
| 81025 |
|
1,291 |
1,204 |
$8.80 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,275 |
2,192 |
$0.00 |
| 99173 |
|
942 |
929 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
161 |
157 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
53 |
52 |
$0.00 |
| 90461 |
|
164 |
163 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
25 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
38 |
38 |
$0.00 |
| 91313 |
|
17 |
17 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,250 |
5,835 |
$0.00 |
| 97802 |
|
485 |
460 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
763 |
751 |
$0.00 |
| 90656 |
|
58 |
58 |
$0.00 |
| 92551 |
|
559 |
551 |
$0.00 |
| 3008F |
|
372 |
348 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
124 |
124 |
$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 |
164 |
142 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
48 |
48 |
$0.00 |
| 91306 |
|
13 |
13 |
$0.00 |
| 1111F |
|
20 |
18 |
$0.00 |