| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
95,187 |
86,444 |
$17.46M |
| 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 |
7,254 |
6,796 |
$221K |
| 99460 |
|
1,870 |
1,870 |
$169K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,133 |
2,127 |
$147K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,077 |
12,426 |
$114K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38,713 |
36,685 |
$96K |
| 99443 |
|
790 |
787 |
$62K |
| 54150 |
|
367 |
367 |
$32K |
| 99442 |
|
602 |
600 |
$31K |
| 99462 |
|
538 |
463 |
$21K |
| 95811 |
|
117 |
117 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,787 |
2,737 |
$7K |
| 99215 |
Prolong outpt/office vis |
300 |
300 |
$6K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
64 |
64 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,555 |
2,551 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
173 |
173 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
260 |
259 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
159 |
156 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
359 |
349 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
342 |
342 |
$897.83 |
| 0072A |
|
21 |
21 |
$840.00 |
| 0071A |
|
21 |
21 |
$840.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,450 |
1,448 |
$644.07 |
| 94729 |
|
139 |
139 |
$630.66 |
| 94726 |
|
112 |
112 |
$549.33 |
| 94060 |
|
107 |
107 |
$547.45 |
| 0011A |
|
13 |
13 |
$220.22 |
| 90474 |
|
27 |
27 |
$195.00 |
| 94010 |
|
27 |
27 |
$145.36 |
| 81002 |
|
29 |
25 |
$89.90 |
| 99173 |
|
2,965 |
2,964 |
$82.50 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
120 |
115 |
$34.76 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
174 |
174 |
$16.86 |
| 98926 |
|
42 |
41 |
$2.95 |
| 99381 |
|
103 |
103 |
$0.00 |
| 99383 |
|
113 |
113 |
$0.00 |
| 90680 |
|
28 |
28 |
$0.00 |
| 98925 |
|
27 |
27 |
$0.00 |
| 90686 |
|
50 |
50 |
$0.00 |
| 90697 |
|
12 |
12 |
$0.00 |
| 90647 |
|
26 |
26 |
$0.00 |
| 90723 |
|
31 |
31 |
$0.00 |
| 90677 |
|
18 |
18 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,025 |
932 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
680 |
679 |
$0.00 |
| 90670 |
|
45 |
45 |
$0.00 |
| 99382 |
|
37 |
37 |
$0.00 |
| 90671 |
|
13 |
13 |
$0.00 |