| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
8,304 |
6,481 |
$575K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,164 |
5,445 |
$209K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,940 |
1,240 |
$56K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
214 |
118 |
$6K |
| 99406 |
|
1,721 |
982 |
$6K |
| S9470 |
Nutritional counseling, dietitian visit |
4,597 |
2,732 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
219 |
107 |
$1K |
| 90674 |
|
96 |
45 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
396 |
220 |
$1K |
| 90756 |
|
108 |
56 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
71 |
29 |
$709.00 |
| 90688 |
|
98 |
44 |
$364.67 |
| 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 |
28 |
26 |
$286.87 |
| 2014F |
|
21 |
21 |
$0.00 |
| 98960 |
|
286 |
143 |
$0.00 |
| 4004F |
|
273 |
147 |
$0.00 |
| 3078F |
|
244 |
191 |
$0.00 |
| 99408 |
|
254 |
156 |
$0.00 |
| 97803 |
|
29 |
26 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
220 |
213 |
$0.00 |
| 3079F |
|
420 |
268 |
$0.00 |
| 1000F |
|
1,202 |
919 |
$0.00 |
| 3008F |
|
570 |
448 |
$0.00 |
| 3074F |
|
622 |
428 |
$0.00 |
| 90686 |
|
43 |
33 |
$0.00 |