| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
13,283 |
12,269 |
$2.86M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,737 |
3,528 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
836 |
821 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
97 |
97 |
$2K |
| 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 |
45 |
42 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
41 |
40 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
55 |
55 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
40 |
40 |
$421.82 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
50 |
50 |
$421.82 |
| 0071A |
|
14 |
14 |
$274.12 |
| 0013A |
|
12 |
12 |
$234.96 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
244 |
244 |
$216.00 |
| 90670 |
|
97 |
97 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
340 |
340 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 96160 |
|
29 |
29 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$0.00 |
| 99383 |
|
14 |
14 |
$0.00 |
| 90697 |
|
43 |
43 |
$0.00 |
| 90677 |
|
53 |
53 |
$0.00 |
| 90686 |
|
34 |
34 |
$0.00 |