| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
4,139 |
2,998 |
$493K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,377 |
9,014 |
$273K |
| 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 |
2,038 |
1,477 |
$107K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,398 |
1,287 |
$67K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
438 |
438 |
$30K |
| 99457 |
|
701 |
701 |
$5K |
| 99454 |
|
103 |
101 |
$3K |
| 93000 |
|
146 |
146 |
$3K |
| 99458 |
|
493 |
486 |
$2K |
| 99443 |
|
368 |
336 |
$836.40 |
| 99215 |
Prolong outpt/office vis |
54 |
54 |
$803.33 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
54 |
53 |
$491.21 |
| 82947 |
|
21 |
15 |
$58.68 |
| 82948 |
|
161 |
150 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
90 |
90 |
$0.00 |