| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,254 |
1,154 |
$138K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
145 |
144 |
$2K |
| 11721 |
|
470 |
466 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
414 |
399 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
45 |
45 |
$706.00 |
| 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 |
323 |
312 |
$0.00 |
| 3008F |
|
25 |
25 |
$0.00 |
| 3061F |
|
28 |
28 |
$0.00 |
| 1160F |
|
145 |
134 |
$0.00 |
| 1159F |
|
25 |
25 |
$0.00 |
| 3288F |
|
40 |
40 |
$0.00 |