| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,671 |
2,886 |
$255K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,917 |
1,123 |
$59K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,249 |
1,216 |
$48K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
571 |
410 |
$5K |
| 0003A |
|
108 |
107 |
$5K |
| 90674 |
|
102 |
69 |
$2K |
| 90653 |
|
56 |
50 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
55 |
29 |
$2K |
| 90686 |
|
238 |
147 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
114 |
68 |
$1K |
| 80061 |
Lipid panel |
300 |
177 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
415 |
247 |
$1K |
| 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 |
85 |
64 |
$865.25 |
| 0124A |
|
19 |
19 |
$643.98 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
20 |
20 |
$489.76 |
| 90661 |
|
14 |
14 |
$268.99 |
| 3074F |
|
47 |
33 |
$15.02 |
| 81003 |
|
17 |
17 |
$10.14 |
| 3078F |
|
31 |
31 |
$5.05 |
| 91300 |
|
118 |
116 |
$0.95 |
| 91312 |
|
18 |
18 |
$0.00 |
| 3008F |
|
49 |
48 |
$0.00 |