| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
22,787 |
19,860 |
$3.04M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,795 |
7,838 |
$174K |
| 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 |
2,420 |
1,779 |
$126K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,867 |
3,481 |
$111K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,731 |
1,647 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,131 |
1,085 |
$21K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,831 |
1,659 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
171 |
171 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
323 |
311 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
62 |
62 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
717 |
681 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
15 |
12 |
$3K |
| 90686 |
|
99 |
96 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
83 |
65 |
$998.40 |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
14 |
14 |
$807.84 |
| 90715 |
|
18 |
18 |
$737.63 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
67 |
67 |
$563.64 |
| 92002 |
|
213 |
202 |
$472.32 |
| 92133 |
|
34 |
28 |
$460.20 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
74 |
74 |
$406.60 |
| 90756 |
|
15 |
15 |
$327.00 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
12 |
12 |
$187.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
81 |
81 |
$124.88 |
| 82962 |
|
58 |
58 |
$112.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
13 |
$65.13 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
195 |
186 |
$48.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
387 |
354 |
$1.40 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
365 |
335 |
$1.32 |
| 1159F |
|
1,106 |
1,034 |
$0.69 |
| 1036F |
|
914 |
853 |
$0.53 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
20 |
20 |
$0.10 |
| 2022F |
|
161 |
149 |
$0.05 |
| 4004F |
|
229 |
212 |
$0.03 |
| 3078F |
|
619 |
573 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
26 |
25 |
$0.00 |
| 2001F |
|
833 |
770 |
$0.00 |
| 3008F |
|
834 |
770 |
$0.00 |
| 3074F |
|
605 |
563 |
$0.00 |
| 1126F |
|
405 |
378 |
$0.00 |
| 3075F |
|
28 |
28 |
$0.00 |
| 3079F |
|
111 |
109 |
$0.00 |
| 1125F |
|
12 |
12 |
$0.00 |