| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,773 |
3,498 |
$727K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,037 |
975 |
$663.30 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,755 |
1,633 |
$121.21 |
| H0031 |
Mental health assessment, by non-physician |
70 |
69 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 3078F |
|
88 |
81 |
$0.00 |
| 99442 |
|
12 |
12 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
14 |
$0.00 |
| 3008F |
|
371 |
347 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
74 |
71 |
$0.00 |
| 3074F |
|
99 |
92 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
49 |
39 |
$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 |
12 |
12 |
$0.00 |
| 3079F |
|
34 |
31 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
14 |
$0.00 |
| 90686 |
|
41 |
33 |
$0.00 |
| 3049F |
|
31 |
28 |
$0.00 |