| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
17,254 |
15,567 |
$2.06M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,579 |
9,424 |
$208K |
| 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 |
3,208 |
2,961 |
$177K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,512 |
5,859 |
$177K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,435 |
2,250 |
$38K |
| 90832 |
Psychotherapy, 30 minutes with patient |
463 |
361 |
$22K |
| 90686 |
|
1,289 |
1,220 |
$17K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
146 |
93 |
$13K |
| 92552 |
|
784 |
776 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
259 |
252 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
125 |
125 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
219 |
180 |
$3K |
| 85018 |
|
1,479 |
1,450 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
50 |
50 |
$2K |
| 82948 |
|
851 |
793 |
$2K |
| 90715 |
|
98 |
98 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
40 |
40 |
$2K |
| 99173 |
|
604 |
603 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
204 |
189 |
$1K |
| 81003 |
|
585 |
568 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
13 |
$767.37 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$439.56 |
| 81025 |
|
40 |
40 |
$112.38 |
| 90662 |
|
26 |
25 |
$106.00 |
| 90716 |
|
31 |
31 |
$25.00 |
| 90651 |
|
27 |
27 |
$19.80 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 90744 |
|
15 |
15 |
$0.00 |
| Z7500 |
|
13 |
12 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |
| 90707 |
|
15 |
15 |
$0.00 |