| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
50,092 |
40,227 |
$5.27M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,484 |
15,501 |
$356K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30,917 |
17,257 |
$326K |
| 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 |
857 |
763 |
$56K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
457 |
417 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
255 |
184 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
343 |
219 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
65 |
38 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
107 |
70 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,110 |
2,921 |
$337.51 |
| D1206 |
Topical application of fluoride varnish |
113 |
100 |
$180.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,334 |
1,329 |
$0.00 |
| D1110 |
Prophylaxis - adult |
98 |
97 |
$0.00 |
| 17110 |
|
97 |
95 |
$0.00 |
| J1380 |
Injection, estradiol valerate, up to 10 mg |
63 |
59 |
$0.00 |
| 11100 |
|
69 |
68 |
$0.00 |
| 81025 |
|
20 |
19 |
$0.00 |
| 81002 |
|
74 |
56 |
$0.00 |
| D4910 |
|
14 |
14 |
$0.00 |
| D1120 |
Prophylaxis - child |
163 |
163 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |