| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
776 |
711 |
$160K |
| 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 |
99 |
67 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
35 |
28 |
$466.45 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
18 |
12 |
$44.92 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
207 |
194 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
101 |
94 |
$0.00 |
| 90656 |
|
13 |
12 |
$0.00 |