| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
7,778 |
3,250 |
$1.52M |
| 80305 |
|
7,119 |
4,030 |
$55K |
| 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 |
788 |
370 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,221 |
2,783 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,678 |
1,576 |
$312.31 |
| G0008 |
Administration of influenza virus vaccine |
18 |
18 |
$300.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
234 |
212 |
$128.05 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
170 |
152 |
$30.39 |
| 90715 |
|
57 |
55 |
$17.34 |
| 90686 |
|
17 |
17 |
$16.02 |
| 90632 |
|
26 |
26 |
$0.00 |
| 96127 |
|
70 |
59 |
$0.00 |
| 96160 |
|
1,150 |
656 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
99 |
75 |
$0.00 |
| 90746 |
|
12 |
12 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
13 |
$0.00 |
| 99348 |
|
40 |
27 |
$0.00 |