| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,479 |
1,234 |
$158K |
| 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 |
984 |
853 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,319 |
1,117 |
$776.18 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
245 |
222 |
$521.54 |
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
24 |
13 |
$171.72 |
| 99310 |
Prolong nursin fac eval 15m |
18 |
13 |
$0.00 |
| 11721 |
|
195 |
188 |
$0.00 |