| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,636 |
3,966 |
$940K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
783 |
546 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,500 |
2,072 |
$15K |
| H0038 |
Self-help/peer services, per 15 minutes |
616 |
287 |
$10K |
| 90686 |
|
291 |
264 |
$3K |
| 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 |
112 |
65 |
$1K |
| 82947 |
|
297 |
244 |
$932.30 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
347 |
270 |
$492.95 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
128 |
106 |
$452.33 |
| 80305 |
|
72 |
39 |
$445.15 |
| 90461 |
|
63 |
43 |
$242.94 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
24 |
$240.43 |
| 36415 |
Collection of venous blood by venipuncture |
430 |
367 |
$224.37 |
| 81003 |
|
104 |
89 |
$149.06 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
53 |
41 |
$136.79 |
| 81002 |
|
165 |
142 |
$119.04 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$107.76 |