| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,462 |
1,791 |
$477K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,413 |
14,341 |
$209K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,247 |
4,894 |
$68K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
684 |
682 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,186 |
1,176 |
$13K |
| 90686 |
|
715 |
710 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
142 |
139 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
273 |
269 |
$5K |
| 90715 |
|
104 |
104 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
94 |
93 |
$4K |
| 97802 |
|
73 |
72 |
$3K |
| 96127 |
|
1,922 |
1,712 |
$2K |
| 97803 |
|
50 |
50 |
$2K |
| 90688 |
|
116 |
116 |
$2K |
| 99386 |
|
51 |
51 |
$2K |
| 0011A |
|
39 |
39 |
$1K |
| 0064A |
|
26 |
26 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$606.50 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$370.76 |
| 96160 |
|
1,039 |
950 |
$317.84 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
26 |
26 |
$293.81 |
| 90461 |
|
15 |
15 |
$226.25 |
| 96156 |
|
12 |
12 |
$181.92 |
| 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 |
1,696 |
1,454 |
$171.78 |
| 3008F |
|
14 |
14 |
$130.00 |
| 82962 |
|
738 |
677 |
$118.86 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$88.94 |
| 81002 |
|
100 |
99 |
$11.38 |
| 3074F |
|
2,855 |
2,705 |
$10.03 |
| 3079F |
|
1,223 |
1,160 |
$8.00 |
| 3078F |
|
2,222 |
2,100 |
$4.02 |
| 3077F |
|
371 |
346 |
$3.00 |
| 3080F |
|
312 |
297 |
$3.00 |
| 3075F |
|
355 |
337 |
$2.00 |
| 1159F |
|
59 |
46 |
$1.00 |
| 1160F |
|
59 |
46 |
$1.00 |
| 90791 |
Psychiatric diagnostic evaluation |
26 |
26 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
64 |
58 |
$0.00 |
| 81025 |
|
13 |
13 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,788 |
1,126 |
$0.00 |
| 1111F |
|
81 |
81 |
$0.00 |
| 1126F |
|
52 |
43 |
$0.00 |