| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,470 |
4,721 |
$1.18M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
643 |
589 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,670 |
2,323 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
482 |
478 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
378 |
362 |
$751.67 |
| 90686 |
|
194 |
194 |
$485.70 |
| 96127 |
|
210 |
140 |
$16.54 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
26 |
26 |
$12.08 |
| 85018 |
|
25 |
25 |
$4.26 |
| 36416 |
|
26 |
26 |
$2.55 |
| 1160F |
|
1,426 |
1,211 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
126 |
115 |
$0.00 |
| 3725F |
|
511 |
459 |
$0.00 |
| 3078F |
|
49 |
45 |
$0.00 |
| 99188 |
|
49 |
49 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
40 |
40 |
$0.00 |
| 99173 |
|
26 |
26 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |
| 3074F |
|
420 |
387 |
$0.00 |
| 1036F |
|
987 |
860 |
$0.00 |
| 3008F |
|
482 |
424 |
$0.00 |
| 3075F |
|
28 |
26 |
$0.00 |
| 3079F |
|
88 |
80 |
$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 |
16 |
14 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
25 |
13 |
$0.00 |
| 90656 |
|
15 |
15 |
$0.00 |