| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
13,946 |
11,716 |
$3.26M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,016 |
6,517 |
$275K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,577 |
5,240 |
$241K |
| 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 |
1,145 |
915 |
$236K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
463 |
341 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,544 |
1,013 |
$8K |
| 90686 |
|
531 |
320 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
52 |
28 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
20 |
20 |
$2K |
| 90656 |
|
109 |
69 |
$1K |
| 92552 |
|
68 |
44 |
$896.98 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
19 |
12 |
$810.95 |
| 90715 |
|
25 |
24 |
$720.13 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
298 |
193 |
$541.78 |
| 82948 |
|
54 |
52 |
$396.38 |
| 90688 |
|
19 |
14 |
$290.93 |
| 90658 |
|
13 |
12 |
$135.00 |
| 81003 |
|
42 |
30 |
$48.59 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
18 |
14 |
$1.87 |
| 3074F |
|
378 |
361 |
$0.00 |
| 3075F |
|
39 |
37 |
$0.00 |
| 3079F |
|
43 |
41 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
105 |
105 |
$0.00 |
| 3044F |
|
47 |
45 |
$0.00 |
| 3008F |
|
39 |
39 |
$0.00 |
| 3078F |
|
434 |
409 |
$0.00 |