| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
24,879 |
21,579 |
$4.77M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,920 |
14,377 |
$93K |
| 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 |
677 |
610 |
$20K |
| 99442 |
|
258 |
243 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
76 |
76 |
$641.44 |
| 99406 |
|
38 |
37 |
$454.19 |
| 36415 |
Collection of venous blood by venipuncture |
823 |
814 |
$205.77 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
299 |
278 |
$120.09 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
539 |
539 |
$97.22 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
159 |
145 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
114 |
114 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
60 |
60 |
$0.00 |
| 3725F |
|
12 |
12 |
$0.00 |
| 99173 |
|
32 |
32 |
$0.00 |
| 99382 |
|
20 |
20 |
$0.00 |
| 1031F |
|
388 |
345 |
$0.00 |
| 3008F |
|
418 |
374 |
$0.00 |
| 1036F |
|
13 |
13 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
41 |
41 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
90 |
78 |
$0.00 |