| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
21,509 |
18,275 |
$3.07M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,786 |
7,766 |
$15K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,166 |
664 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,777 |
1,545 |
$3K |
| 90686 |
|
574 |
510 |
$1K |
| 99173 |
|
1,102 |
912 |
$693.51 |
| 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 |
75 |
49 |
$618.86 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,824 |
1,684 |
$381.08 |
| 92551 |
|
1,033 |
861 |
$200.70 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
99 |
91 |
$188.76 |
| 90715 |
|
223 |
204 |
$117.24 |
| 85018 |
|
1,151 |
1,130 |
$108.40 |
| 81003 |
|
117 |
90 |
$45.90 |
| 90656 |
|
86 |
85 |
$25.00 |
| 90651 |
|
41 |
25 |
$9.45 |
| 90734 |
|
38 |
24 |
$9.45 |
| 1111F |
|
170 |
162 |
$0.00 |
| 96127 |
|
355 |
345 |
$0.00 |
| 3008F |
|
2,045 |
1,898 |
$0.00 |
| 2001F |
|
2,018 |
1,872 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,331 |
1,232 |
$0.00 |
| 3079F |
|
455 |
434 |
$0.00 |
| 1036F |
|
1,477 |
1,361 |
$0.00 |
| 3075F |
|
203 |
199 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 3351F |
|
18 |
15 |
$0.00 |
| 3074F |
|
1,580 |
1,478 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
26 |
26 |
$0.00 |
| 1034F |
|
27 |
25 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,270 |
1,177 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
613 |
595 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
102 |
101 |
$0.00 |
| 3078F |
|
1,460 |
1,370 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
140 |
132 |
$0.00 |
| 3077F |
|
50 |
48 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$0.00 |
| 87400 |
|
19 |
18 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
37 |
35 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
68 |
68 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
50 |
48 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
55 |
55 |
$0.00 |