| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
12,097 |
9,935 |
$2.16M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,426 |
4,783 |
$245K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,299 |
2,959 |
$194K |
| 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 |
634 |
601 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
460 |
431 |
$21K |
| 90832 |
Psychotherapy, 30 minutes with patient |
279 |
172 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
72 |
68 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$842.40 |
| 90834 |
Psychotherapy, 45 minutes with patient |
12 |
12 |
$785.17 |
| 90686 |
|
253 |
237 |
$602.64 |
| 0071A |
|
14 |
14 |
$440.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
283 |
270 |
$350.88 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
912 |
836 |
$297.18 |
| 81025 |
|
120 |
115 |
$195.21 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
51 |
37 |
$153.08 |
| 90656 |
|
52 |
52 |
$139.76 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
59 |
27 |
$29.46 |
| 90688 |
|
141 |
132 |
$0.18 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$0.00 |
| 91301 |
|
40 |
40 |
$0.00 |
| 91307 |
|
15 |
15 |
$0.00 |