| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
46,969 |
29,607 |
$4.67M |
| D9430 |
|
52 |
28 |
$3K |
| 90686 |
|
224 |
156 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,917 |
16,203 |
$924.63 |
| 81000 |
|
2,657 |
1,434 |
$9.69 |
| 36415 |
Collection of venous blood by venipuncture |
4,788 |
3,127 |
$0.00 |
| 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 |
1,250 |
1,200 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,504 |
1,097 |
$0.00 |
| 36416 |
|
1,203 |
864 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
220 |
162 |
$0.00 |
| 82962 |
|
321 |
258 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
445 |
347 |
$0.00 |
| 0011A |
|
13 |
13 |
$0.00 |
| 0001A |
|
284 |
251 |
$0.00 |
| 85018 |
|
35 |
19 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
26 |
14 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
21 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
81 |
50 |
$0.00 |
| 99484 |
|
13 |
12 |
$0.00 |
| 0012A |
|
15 |
13 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$0.00 |
| 81025 |
|
1,344 |
844 |
$0.00 |
| 83655 |
|
34 |
19 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,508 |
1,052 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
164 |
109 |
$0.00 |
| 90756 |
|
251 |
172 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
269 |
162 |
$0.00 |
| 0002A |
|
192 |
173 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
39 |
26 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
40 |
39 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
76 |
65 |
$0.00 |
| 99201 |
|
69 |
64 |
$0.00 |
| 80061 |
Lipid panel |
26 |
15 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
66 |
37 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
50 |
30 |
$0.00 |