| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
19,166 |
13,682 |
$946K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,625 |
2,801 |
$163K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,006 |
3,562 |
$150K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
839 |
639 |
$45K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
680 |
515 |
$26K |
| 99384 |
|
406 |
343 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
521 |
381 |
$24K |
| 99383 |
|
378 |
280 |
$19K |
| 91320 |
|
134 |
119 |
$10K |
| 90832 |
Psychotherapy, 30 minutes with patient |
265 |
112 |
$8K |
| 96127 |
|
4,783 |
1,265 |
$7K |
| 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 |
694 |
638 |
$6K |
| 99215 |
Prolong outpt/office vis |
87 |
82 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
233 |
160 |
$4K |
| 90480 |
|
127 |
119 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
461 |
200 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
309 |
259 |
$2K |
| 92551 |
|
473 |
357 |
$2K |
| 99442 |
|
146 |
133 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
52 |
24 |
$2K |
| 91322 |
|
14 |
13 |
$2K |
| 0012A |
|
58 |
50 |
$2K |
| 0124A |
|
51 |
32 |
$2K |
| 0011A |
|
28 |
28 |
$2K |
| 90656 |
|
94 |
92 |
$741.00 |
| 90686 |
|
65 |
39 |
$651.70 |
| 82948 |
|
183 |
133 |
$441.47 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
28 |
28 |
$255.71 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
28 |
26 |
$124.34 |
| 91301 |
|
168 |
156 |
$1.41 |
| 91312 |
|
46 |
31 |
$0.37 |
| 91300 |
|
21 |
13 |
$0.21 |
| 1036F |
|
1,703 |
1,624 |
$0.00 |
| 3074F |
|
135 |
133 |
$0.00 |
| 3075F |
|
72 |
67 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| 4004F |
|
724 |
683 |
$0.00 |
| 3078F |
|
386 |
375 |
$0.00 |