| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,865 |
1,533 |
$276K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
642 |
578 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
304 |
274 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
106 |
101 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
73 |
68 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
57 |
39 |
$3K |
| 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 |
43 |
42 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
30 |
26 |
$981.12 |
| 99000 |
|
101 |
99 |
$623.77 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
120 |
82 |
$413.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
225 |
219 |
$27.50 |
| 1125F |
|
14 |
14 |
$0.00 |
| 1126F |
|
574 |
476 |
$0.00 |
| 3075F |
|
15 |
15 |
$0.00 |
| 3008F |
|
577 |
510 |
$0.00 |
| 3074F |
|
372 |
330 |
$0.00 |
| 3079F |
|
43 |
41 |
$0.00 |
| 1036F |
|
101 |
77 |
$0.00 |
| 96127 |
|
70 |
69 |
$0.00 |
| 90656 |
|
21 |
21 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 3078F |
|
348 |
307 |
$0.00 |
| 96160 |
|
29 |
27 |
$0.00 |
| 3725F |
|
222 |
186 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
212 |
116 |
$0.00 |
| 99173 |
|
17 |
16 |
$0.00 |