| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
13,363 |
10,458 |
$3.36M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,498 |
4,026 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,045 |
1,426 |
$24K |
| 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 |
103 |
78 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
576 |
462 |
$2K |
| 90686 |
|
394 |
324 |
$1K |
| 90670 |
|
28 |
27 |
$217.59 |
| 90715 |
|
24 |
20 |
$144.56 |
| 90656 |
|
86 |
80 |
$127.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
79 |
65 |
$79.56 |
| 81003 |
|
167 |
125 |
$68.40 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
35 |
$54.28 |
| 85018 |
|
123 |
92 |
$53.30 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
45 |
38 |
$50.88 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
32 |
31 |
$34.34 |
| 81025 |
|
49 |
37 |
$33.88 |
| 92552 |
|
58 |
53 |
$33.04 |
| 92553 |
|
13 |
12 |
$22.04 |
| 86580 |
|
16 |
13 |
$11.10 |
| 1159F |
|
821 |
658 |
$0.00 |
| 1160F |
|
819 |
658 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
70 |
66 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
62 |
61 |
$0.00 |
| 99442 |
|
99 |
94 |
$0.00 |
| 90649 |
|
17 |
15 |
$0.00 |
| 90734 |
|
14 |
13 |
$0.00 |
| 82948 |
|
13 |
12 |
$0.00 |
| Z1034 |
|
140 |
83 |
$0.00 |
| 3008F |
|
686 |
591 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 99441 |
|
56 |
55 |
$0.00 |