| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
10,003 |
9,206 |
$976K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,138 |
2,948 |
$9K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
41 |
41 |
$8K |
| 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 |
136 |
126 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
156 |
149 |
$427.80 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
313 |
250 |
$70.93 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
209 |
209 |
$33.73 |
| 90688 |
|
307 |
305 |
$21.93 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
422 |
420 |
$8.78 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
45 |
45 |
$4.39 |
| 88142 |
|
37 |
36 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
597 |
579 |
$0.00 |
| 82962 |
|
110 |
102 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
108 |
69 |
$0.00 |
| 96127 |
|
30 |
30 |
$0.00 |
| 86580 |
|
14 |
12 |
$0.00 |
| 81002 |
|
219 |
188 |
$0.00 |
| 59425 |
|
100 |
72 |
$0.00 |
| 90715 |
|
109 |
109 |
$0.00 |
| 81003 |
|
13 |
13 |
$0.00 |
| 88164 |
|
13 |
13 |
$0.00 |