| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
20,713 |
15,850 |
$1.10M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,298 |
21,219 |
$213K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,212 |
1,209 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
944 |
942 |
$11K |
| 92552 |
|
2,612 |
2,579 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
138 |
79 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
198 |
195 |
$2K |
| 90686 |
|
764 |
760 |
$2K |
| 97803 |
|
2,773 |
2,759 |
$1K |
| 0001A |
|
28 |
28 |
$1K |
| 0071A |
|
27 |
27 |
$1K |
| 92551 |
|
432 |
431 |
$969.61 |
| 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 |
39 |
24 |
$702.24 |
| 0002A |
|
17 |
17 |
$680.00 |
| 0012A |
|
18 |
17 |
$570.34 |
| 0064A |
|
14 |
14 |
$560.00 |
| 99173 |
|
1,826 |
1,823 |
$422.20 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
805 |
637 |
$331.66 |
| 90734 |
|
135 |
134 |
$235.40 |
| 96127 |
|
112 |
111 |
$230.88 |
| 0011A |
|
19 |
13 |
$186.34 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
29 |
29 |
$160.00 |
| 90651 |
|
78 |
77 |
$144.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,981 |
1,952 |
$133.80 |
| 90715 |
|
37 |
37 |
$90.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,623 |
2,612 |
$62.75 |
| 3079F |
|
14 |
13 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |
| 3077F |
|
15 |
12 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |