| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,703 |
3,617 |
$655K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,905 |
2,549 |
$175K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
952 |
812 |
$59K |
| 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 |
685 |
628 |
$24K |
| 99215 |
Prolong outpt/office vis |
408 |
348 |
$23K |
| 0013A |
|
59 |
54 |
$280.00 |
| 90686 |
|
136 |
135 |
$93.75 |
| 0134A |
|
17 |
15 |
$80.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
588 |
549 |
$15.68 |
| 90688 |
|
58 |
55 |
$0.03 |
| 91301 |
|
140 |
134 |
$0.00 |
| 99606 |
|
13 |
12 |
$0.00 |
| 91313 |
|
17 |
15 |
$0.00 |