| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
18,819 |
16,442 |
$4.57M |
| 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 |
5,720 |
5,049 |
$107K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,763 |
4,273 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,310 |
1,208 |
$21K |
| 0001A |
|
184 |
178 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
147 |
135 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
141 |
120 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
95 |
82 |
$4K |
| 0002A |
|
42 |
39 |
$3K |
| 99382 |
|
12 |
12 |
$676.92 |
| 99384 |
|
13 |
13 |
$620.51 |
| D0220 |
Intraoral - periapical first radiographic image |
62 |
17 |
$324.90 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
178 |
171 |
$37.14 |
| 82962 |
|
277 |
249 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
12 |
$0.00 |
| 81002 |
|
59 |
54 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
30 |
$0.00 |