| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
22,720 |
22,396 |
$4.72M |
| G9012 |
Other specified case management service not elsewhere classified |
1,938 |
806 |
$287K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
308 |
302 |
$107K |
| 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 |
718 |
654 |
$84K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,546 |
8,079 |
$77K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,897 |
8,335 |
$43K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
625 |
445 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
753 |
479 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,943 |
1,253 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
238 |
163 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
33 |
33 |
$2K |
| 97811 |
|
74 |
55 |
$851.13 |
| 99215 |
Prolong outpt/office vis |
200 |
106 |
$763.62 |
| 81002 |
|
3,725 |
2,226 |
$658.30 |
| 86701 |
|
170 |
170 |
$651.89 |
| 97810 |
|
74 |
55 |
$428.46 |
| 81025 |
|
1,713 |
1,003 |
$396.02 |
| 86703 |
|
23 |
14 |
$50.24 |
| 82948 |
|
20 |
12 |
$8.94 |
| 96160 |
|
77 |
77 |
$3.89 |
| 86580 |
|
16 |
15 |
$3.70 |
| 94760 |
|
134 |
88 |
$0.00 |