| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,042 |
2,351 |
$515K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
391 |
356 |
$66K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
49 |
48 |
$8K |
| 90832 |
Psychotherapy, 30 minutes with patient |
135 |
105 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
48 |
48 |
$4K |
| 0001A |
|
68 |
68 |
$3K |
| 0012A |
|
60 |
60 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
16 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
12 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$2K |
| 0011A |
|
61 |
61 |
$2K |
| 0002A |
|
47 |
47 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
117 |
117 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
115 |
112 |
$2K |
| 0004A |
|
37 |
37 |
$2K |
| 92015 |
Determination of refractive state |
72 |
72 |
$1K |
| 90461 |
|
69 |
33 |
$653.10 |
| 90658 |
|
26 |
26 |
$295.62 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$169.51 |
| 90657 |
|
15 |
15 |
$85.20 |