| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,339 |
4,197 |
$435K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,584 |
4,457 |
$232K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,320 |
602 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,481 |
1,318 |
$46K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
448 |
235 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
560 |
334 |
$4K |
| 99215 |
Prolong outpt/office vis |
97 |
47 |
$4K |
| 90686 |
|
112 |
49 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18 |
12 |
$467.82 |
| 90674 |
|
30 |
20 |
$449.10 |
| 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 |
29 |
24 |
$293.99 |
| 90658 |
|
38 |
26 |
$197.41 |
| 90656 |
|
12 |
12 |
$178.80 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
27 |
13 |
$145.00 |
| 3074F |
|
5,561 |
3,233 |
$0.00 |
| 3079F |
|
2,201 |
1,279 |
$0.00 |
| 3008F |
|
7,455 |
4,316 |
$0.00 |
| 1036F |
|
1,353 |
924 |
$0.00 |
| 1034F |
|
222 |
146 |
$0.00 |
| 3075F |
|
24 |
14 |
$0.00 |
| 3078F |
|
2,844 |
1,683 |
$0.00 |