| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,926 |
3,351 |
$493K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,511 |
2,262 |
$78K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
749 |
675 |
$25K |
| 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 |
427 |
401 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
30 |
25 |
$1K |
| 87428 |
|
29 |
26 |
$955.37 |
| 90686 |
|
153 |
140 |
$854.15 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
75 |
44 |
$347.04 |
| 90656 |
|
37 |
36 |
$346.93 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
14 |
$121.11 |
| 84703 |
|
67 |
57 |
$75.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
113 |
106 |
$33.10 |
| 82962 |
|
500 |
426 |
$4.17 |
| 96127 |
|
19 |
14 |
$0.00 |