| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
2,823 |
2,397 |
$1.56M |
| 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 |
186 |
133 |
$70K |
| 00003 |
Internal/system code - not a standard HCPCS code |
26 |
13 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
301 |
282 |
$12.00 |
| 99000 |
|
178 |
168 |
$10.89 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
92 |
87 |
$0.00 |
| 99442 |
|
12 |
12 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,396 |
1,232 |
$0.00 |
| 0012A |
|
64 |
63 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
306 |
267 |
$0.00 |
| 0011A |
|
57 |
57 |
$0.00 |
| 0064A |
|
12 |
12 |
$0.00 |
| 91301 |
|
74 |
73 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
17 |
17 |
$0.00 |