| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,897 |
2,238 |
$315K |
| 99199 |
Unlisted special service, procedure or report |
19,742 |
14,277 |
$105K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,150 |
1,830 |
$12K |
| 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 |
95 |
72 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
32 |
29 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
21 |
15 |
$733.32 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24 |
16 |
$515.10 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
31 |
15 |
$411.60 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
144 |
101 |
$170.65 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
37 |
30 |
$17.04 |