| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
10,606 |
9,204 |
$1.58M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,795 |
10,514 |
$49K |
| 80305 |
|
990 |
780 |
$22K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
295 |
295 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
649 |
604 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,481 |
3,023 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
17 |
15 |
$653.31 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
276 |
259 |
$574.42 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
17 |
16 |
$280.50 |
| A4267 |
Contraceptive supply, condom, male, each |
34 |
32 |
$66.64 |
| 86580 |
|
34 |
34 |
$13.44 |
| 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 |
182 |
156 |
$0.00 |