| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
16,340 |
13,922 |
$2.44M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,003 |
4,362 |
$142K |
| 0761 |
|
1,576 |
1,303 |
$39K |
| 0760 |
|
366 |
327 |
$15K |
| 0510 |
|
507 |
437 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,434 |
3,748 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
322 |
194 |
$9K |
| 90686 |
|
681 |
468 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,317 |
3,572 |
$6K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
120 |
94 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
490 |
285 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
57 |
27 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,885 |
910 |
$954.21 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
70 |
56 |
$736.68 |
| 92551 |
|
498 |
293 |
$606.54 |
| A4649 |
Surgical supply; miscellaneous |
14 |
14 |
$490.00 |
| 90715 |
|
44 |
29 |
$162.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
50 |
43 |
$138.60 |
| 90651 |
|
25 |
15 |
$135.00 |
| 81025 |
|
63 |
43 |
$92.96 |
| 90656 |
|
41 |
37 |
$72.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
197 |
149 |
$28.30 |
| 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 |
701 |
616 |
$0.00 |
| 90734 |
|
18 |
18 |
$0.00 |
| 99173 |
|
283 |
283 |
$0.00 |
| 90649 |
|
16 |
16 |
$0.00 |
| A4550 |
Surgical trays |
15 |
15 |
$0.00 |