| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,083 |
831 |
$200K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
150 |
125 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
690 |
562 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$395.20 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
67 |
56 |
$181.00 |
| 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 |
233 |
168 |
$171.70 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
88 |
82 |
$160.40 |
| 11721 |
|
38 |
38 |
$122.80 |
| 90661 |
|
14 |
14 |
$110.55 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
35 |
27 |
$82.47 |
| 3074F |
|
14 |
14 |
$0.10 |
| 3075F |
|
13 |
13 |
$0.04 |
| 3079F |
|
12 |
12 |
$0.03 |
| 1101F |
|
18 |
17 |
$0.00 |
| 90674 |
|
21 |
13 |
$0.00 |
| 4010F |
|
33 |
33 |
$0.00 |
| 3008F |
|
27 |
17 |
$0.00 |