| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
15,768 |
12,500 |
$2.14M |
| 59425 |
|
800 |
536 |
$60K |
| 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 |
382 |
333 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,341 |
1,991 |
$17K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
116 |
81 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
131 |
83 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
63 |
52 |
$255.00 |
| 81003 |
|
3,546 |
2,477 |
$153.13 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
387 |
363 |
$34.25 |
| 81025 |
|
16 |
12 |
$32.59 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
49 |
48 |
$0.00 |
| Z1034 |
|
3,796 |
2,569 |
$0.00 |
| Z1038 |
|
18 |
16 |
$0.00 |