| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,081 |
2,487 |
$778K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,145 |
998 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
384 |
263 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
825 |
741 |
$1K |
| 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 |
47 |
40 |
$1K |
| 80305 |
|
170 |
149 |
$229.49 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$20.12 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21 |
21 |
$19.29 |
| 96127 |
|
119 |
87 |
$10.68 |
| 3078F |
|
786 |
691 |
$0.00 |
| 3077F |
|
213 |
193 |
$0.00 |
| 3080F |
|
282 |
255 |
$0.00 |
| 3079F |
|
322 |
298 |
$0.00 |
| 3074F |
|
1,044 |
906 |
$0.00 |
| 1126F |
|
120 |
105 |
$0.00 |
| 1034F |
|
73 |
61 |
$0.00 |
| 1035F |
|
15 |
12 |
$0.00 |
| 3075F |
|
97 |
93 |
$0.00 |
| 90686 |
|
15 |
14 |
$0.00 |
| 1036F |
|
38 |
31 |
$0.00 |
| 3008F |
|
155 |
133 |
$0.00 |
| 36416 |
|
12 |
12 |
$0.00 |