| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
24,355 |
22,604 |
$5.84M |
| 0124A |
|
24 |
24 |
$920.00 |
| 0134A |
|
16 |
16 |
$640.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,439 |
5,283 |
$304.67 |
| 0001A |
|
16 |
16 |
$271.04 |
| 90656 |
|
155 |
153 |
$44.70 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
212 |
209 |
$40.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,575 |
1,498 |
$26.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,383 |
1,374 |
$20.00 |
| 99173 |
|
584 |
579 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
91 |
91 |
$0.00 |
| 81025 |
|
626 |
599 |
$0.00 |
| 90461 |
|
91 |
91 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$0.00 |
| 90686 |
|
834 |
834 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
185 |
177 |
$0.00 |
| 3008F |
|
287 |
256 |
$0.00 |
| 97802 |
|
272 |
258 |
$0.00 |
| 92551 |
|
120 |
120 |
$0.00 |
| 91301 |
|
14 |
14 |
$0.00 |
| 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 |
12 |
12 |
$0.00 |