| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
9,739 |
8,753 |
$953K |
| 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 |
544 |
463 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,101 |
2,024 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,957 |
2,806 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
499 |
489 |
$4K |
| 86403 |
|
673 |
669 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$1K |
| 81000 |
|
625 |
616 |
$444.35 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
114 |
114 |
$389.40 |
| 82947 |
|
205 |
196 |
$103.76 |
| 81025 |
|
101 |
100 |
$95.20 |
| 71046 |
Radiologic examination, chest; 2 views |
14 |
14 |
$82.44 |
| 85018 |
|
97 |
97 |
$70.38 |
| 90715 |
|
21 |
21 |
$54.00 |
| 90734 |
|
17 |
17 |
$45.00 |
| 90651 |
|
13 |
13 |
$45.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
235 |
229 |
$31.37 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
41 |
41 |
$31.05 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
216 |
210 |
$2.13 |
| 3044F |
|
70 |
68 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$0.00 |