| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,396 |
2,809 |
$664K |
| 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 |
808 |
675 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,281 |
1,812 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
81 |
74 |
$354.75 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
196 |
177 |
$0.00 |
| 3008F |
|
178 |
91 |
$0.00 |
| 99000 |
|
94 |
85 |
$0.00 |
| 90686 |
|
42 |
41 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
17 |
$0.00 |
| 36416 |
|
14 |
12 |
$0.00 |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
13 |
12 |
$0.00 |
| 1111F |
|
13 |
13 |
$0.00 |
| 81025 |
|
39 |
37 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
102 |
94 |
$0.00 |
| 81003 |
|
172 |
154 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
188 |
180 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
61 |
57 |
$0.00 |
| 90461 |
|
22 |
17 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
19 |
$0.00 |
| 82947 |
|
14 |
12 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
35 |
33 |
$0.00 |