| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,073 |
13,493 |
$650K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,669 |
4,297 |
$253K |
| T1016 |
Case management, each 15 minutes |
6,415 |
2,629 |
$240K |
| T1015 |
Clinic visit/encounter, all-inclusive |
5,021 |
4,258 |
$156K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,620 |
1,472 |
$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 |
722 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
296 |
286 |
$19K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
756 |
646 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,226 |
1,187 |
$10K |
| 90461 |
|
465 |
449 |
$8K |
| T1017 |
Targeted case management, each 15 minutes |
141 |
112 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
39 |
38 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
582 |
547 |
$4K |
| 0002A |
|
88 |
88 |
$3K |
| 0001A |
|
95 |
92 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
30 |
29 |
$3K |
| 99442 |
|
158 |
144 |
$3K |
| 0012A |
|
45 |
43 |
$1K |
| 0011A |
|
47 |
31 |
$969.84 |
| 90480 |
|
32 |
32 |
$799.20 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$718.51 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
34 |
33 |
$716.29 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$624.00 |
| 0003A |
|
13 |
13 |
$520.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
46 |
45 |
$518.72 |
| 80305 |
|
49 |
46 |
$350.39 |
| 0031A |
|
13 |
12 |
$335.51 |
| 99441 |
|
15 |
14 |
$239.33 |
| 82962 |
|
48 |
44 |
$136.43 |
| 86703 |
|
12 |
12 |
$113.80 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$0.00 |