| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
22,046 |
20,506 |
$1.55M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,398 |
17,307 |
$10K |
| 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 |
899 |
857 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
570 |
555 |
$3K |
| 90746 |
|
451 |
428 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,318 |
1,247 |
$956.88 |
| 90707 |
|
78 |
78 |
$605.00 |
| 92552 |
|
1,802 |
1,729 |
$589.57 |
| 90715 |
|
287 |
285 |
$457.56 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
222 |
211 |
$414.00 |
| 93000 |
|
527 |
522 |
$352.56 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
476 |
462 |
$312.95 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
138 |
130 |
$291.69 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
193 |
193 |
$279.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,435 |
3,222 |
$193.32 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
366 |
361 |
$161.02 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
448 |
414 |
$125.40 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
402 |
395 |
$102.47 |
| 99173 |
|
1,744 |
1,669 |
$64.72 |
| 86580 |
|
471 |
457 |
$63.54 |
| 90685 |
|
14 |
14 |
$47.25 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
50 |
43 |
$44.80 |
| 90698 |
|
57 |
57 |
$37.80 |
| 81003 |
|
1,070 |
1,010 |
$31.83 |
| 82270 |
|
321 |
316 |
$27.60 |
| 99000 |
|
139 |
138 |
$24.01 |
| 81025 |
|
238 |
232 |
$23.85 |
| 90688 |
|
1,782 |
1,660 |
$21.07 |
| 90620 |
|
14 |
14 |
$18.90 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
309 |
285 |
$17.72 |
| 94760 |
|
25 |
25 |
$15.84 |
| 82948 |
|
474 |
428 |
$15.36 |
| 85018 |
|
649 |
622 |
$7.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,093 |
2,000 |
$2.40 |
| 90670 |
|
57 |
57 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
126 |
119 |
$0.00 |
| 90633 |
|
63 |
62 |
$0.00 |
| 3046F |
|
14 |
14 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
185 |
182 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 3078F |
|
34 |
32 |
$0.00 |
| 3077F |
|
26 |
26 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,622 |
1,482 |
$0.00 |
| 90651 |
|
25 |
25 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
19 |
14 |
$0.00 |
| 90686 |
|
223 |
216 |
$0.00 |
| 90716 |
|
27 |
27 |
$0.00 |
| 3074F |
|
29 |
27 |
$0.00 |
| 99385 |
|
13 |
12 |
$0.00 |
| 99383 |
|
13 |
13 |
$0.00 |
| 99172 |
|
101 |
101 |
$0.00 |
| 90732 |
|
12 |
12 |
$0.00 |
| 3079F |
|
17 |
17 |
$0.00 |