| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
11,827 |
10,094 |
$1.64M |
| 99213 |
|
6,262 |
5,745 |
$544K |
| 99395 |
|
2,081 |
2,045 |
$304K |
| 99214 |
|
2,869 |
2,695 |
$200K |
| 99396 |
|
648 |
625 |
$80K |
| 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 |
755 |
721 |
$25K |
| D0999 |
|
351 |
293 |
$17K |
| 99212 |
|
140 |
134 |
$15K |
| 83036 |
|
2,643 |
2,565 |
$8K |
| 99385 |
|
55 |
53 |
$8K |
| 90651 |
|
46 |
40 |
$5K |
| 99215 |
Prolong outpt/office vis |
66 |
62 |
$4K |
| 96372 |
|
1,424 |
1,376 |
$4K |
| 90686 |
|
472 |
448 |
$4K |
| 81025 |
|
2,491 |
2,300 |
$3K |
| CP002 |
|
161 |
146 |
$1K |
| 90471 |
|
602 |
568 |
$1K |
| 81003 |
|
2,159 |
2,075 |
$1K |
| 85018 |
|
1,734 |
1,688 |
$609.01 |
| 0012A |
|
13 |
13 |
$363.90 |
| 0011A |
|
13 |
13 |
$220.22 |
| 99407 |
|
37 |
34 |
$218.20 |
| 90460 |
|
96 |
76 |
$135.33 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
332 |
321 |
$79.83 |
| 90656 |
|
16 |
16 |
$69.01 |
| 3079F |
|
341 |
326 |
$0.00 |
| 1036F |
|
193 |
187 |
$0.00 |
| 82962 |
|
183 |
180 |
$0.00 |
| 3044F |
|
84 |
83 |
$0.00 |
| D1208 |
|
31 |
28 |
$0.00 |
| D0602 |
|
57 |
51 |
$0.00 |
| 3075F |
|
137 |
133 |
$0.00 |
| 3080F |
|
36 |
36 |
$0.00 |
| 96127 |
|
276 |
260 |
$0.00 |
| 3074F |
|
558 |
514 |
$0.00 |
| D0601 |
|
13 |
13 |
$0.00 |
| 3008F |
|
114 |
110 |
$0.00 |
| 91301 |
|
29 |
29 |
$0.00 |
| 84703 |
|
16 |
16 |
$0.00 |
| D0120 |
|
36 |
33 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
26 |
26 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
14 |
$0.00 |
| D1120 |
|
14 |
12 |
$0.00 |
| 3077F |
|
43 |
42 |
$0.00 |
| 3078F |
|
429 |
394 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
256 |
251 |
$0.00 |
| 2028F |
|
13 |
13 |
$0.00 |
| D0145 |
|
12 |
12 |
$0.00 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
14 |
14 |
$0.00 |