| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
8,329 |
7,240 |
$2.08M |
| 0012A |
|
194 |
194 |
$7K |
| 0011A |
|
207 |
205 |
$5K |
| 0013A |
|
75 |
69 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
339 |
308 |
$630.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
903 |
833 |
$605.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
633 |
596 |
$78.00 |
| 92552 |
|
89 |
89 |
$45.00 |
| 99173 |
|
102 |
102 |
$28.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,529 |
2,414 |
$0.00 |
| 3074F |
|
2,728 |
2,509 |
$0.00 |
| 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 |
1,371 |
1,167 |
$0.00 |
| 1031F |
|
1,257 |
1,174 |
$0.00 |
| 3079F |
|
1,244 |
1,170 |
$0.00 |
| 3008F |
|
3,553 |
3,263 |
$0.00 |
| 1126F |
|
1,826 |
1,729 |
$0.00 |
| 1125F |
|
607 |
568 |
$0.00 |
| 3075F |
|
778 |
731 |
$0.00 |
| 90686 |
|
36 |
36 |
$0.00 |
| 3044F |
|
127 |
119 |
$0.00 |
| 1034F |
|
15 |
13 |
$0.00 |
| 3080F |
|
25 |
25 |
$0.00 |
| 4000F |
|
21 |
20 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
54 |
53 |
$0.00 |
| 3048F |
|
21 |
17 |
$0.00 |
| 1036F |
|
28 |
27 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$0.00 |
| 3725F |
|
2,971 |
2,803 |
$0.00 |
| 1160F |
|
2,477 |
2,278 |
$0.00 |
| 3078F |
|
2,377 |
2,182 |
$0.00 |
| 1159F |
|
2,892 |
2,658 |
$0.00 |
| 3077F |
|
99 |
89 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
365 |
350 |
$0.00 |
| 0521F |
|
217 |
205 |
$0.00 |
| 1032F |
|
537 |
504 |
$0.00 |
| 1033F |
|
401 |
371 |
$0.00 |
| 4004F |
|
301 |
282 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$0.00 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
12 |
12 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
15 |
$0.00 |