| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
31,105 |
28,593 |
$7.11M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,901 |
12,027 |
$44K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,265 |
1,264 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,378 |
4,364 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,517 |
1,515 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,582 |
2,574 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,352 |
1,350 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
440 |
440 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
801 |
789 |
$4K |
| 0071A |
|
60 |
60 |
$2K |
| 0002A |
|
60 |
60 |
$2K |
| 0072A |
|
59 |
59 |
$2K |
| 0001A |
|
34 |
34 |
$1K |
| 99188 |
|
176 |
176 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,668 |
2,565 |
$666.02 |
| 0124A |
|
13 |
13 |
$520.00 |
| 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 |
13 |
13 |
$427.12 |
| 90474 |
|
252 |
252 |
$421.82 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
349 |
348 |
$220.08 |
| 90686 |
|
855 |
855 |
$209.30 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$88.27 |
| 85018 |
|
242 |
242 |
$16.88 |
| 90633 |
|
652 |
652 |
$0.01 |
| 90674 |
|
594 |
594 |
$0.00 |
| 90723 |
|
1,006 |
1,006 |
$0.00 |
| 99384 |
|
13 |
13 |
$0.00 |
| 90677 |
|
74 |
74 |
$0.00 |
| 90647 |
|
997 |
997 |
$0.00 |
| 90651 |
|
625 |
625 |
$0.00 |
| 90696 |
|
133 |
133 |
$0.00 |
| 87428 |
|
66 |
66 |
$0.00 |
| 1126F |
|
562 |
550 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
237 |
237 |
$0.00 |
| 3008F |
|
1,101 |
1,046 |
$0.00 |
| 99383 |
|
25 |
25 |
$0.00 |
| 1111F |
|
608 |
574 |
$0.00 |
| 3074F |
|
699 |
671 |
$0.00 |
| 90716 |
|
28 |
28 |
$0.00 |
| 99381 |
|
25 |
25 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
25 |
25 |
$0.00 |
| 90620 |
|
57 |
57 |
$0.00 |
| 3079F |
|
15 |
15 |
$0.00 |
| 1125F |
|
36 |
35 |
$0.00 |
| 90671 |
|
313 |
313 |
$0.00 |
| 90670 |
|
882 |
882 |
$0.00 |
| 90715 |
|
167 |
167 |
$0.00 |
| 3078F |
|
669 |
645 |
$0.00 |
| 90681 |
|
347 |
347 |
$0.00 |
| 90661 |
|
176 |
176 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
98 |
98 |
$0.00 |
| 90734 |
|
431 |
431 |
$0.00 |
| 83655 |
|
172 |
172 |
$0.00 |
| 90710 |
|
230 |
230 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$0.00 |
| 90707 |
|
26 |
26 |
$0.00 |
| 90700 |
|
15 |
15 |
$0.00 |
| 81025 |
|
12 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
16 |
$0.00 |