| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,932 |
6,378 |
$926K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,070 |
2,598 |
$85K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,869 |
2,528 |
$83K |
| 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 |
667 |
636 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
329 |
247 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
353 |
255 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
215 |
147 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,226 |
826 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
166 |
126 |
$5K |
| 99383 |
|
93 |
76 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
127 |
110 |
$4K |
| 99384 |
|
57 |
47 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
25 |
$1K |
| 99382 |
|
18 |
16 |
$1K |
| 90461 |
|
392 |
271 |
$966.91 |
| 90686 |
|
857 |
549 |
$771.63 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
126 |
100 |
$431.42 |
| 90715 |
|
79 |
58 |
$126.20 |
| 81003 |
|
497 |
331 |
$101.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
447 |
367 |
$15.68 |
| 82962 |
|
1,293 |
1,127 |
$0.00 |
| 90723 |
|
60 |
46 |
$0.00 |
| 90716 |
|
129 |
87 |
$0.00 |
| 90680 |
|
106 |
84 |
$0.00 |
| 90651 |
|
199 |
122 |
$0.00 |
| 96127 |
|
14 |
14 |
$0.00 |
| 90696 |
|
18 |
13 |
$0.00 |
| 36416 |
|
34 |
32 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
100 |
65 |
$0.00 |
| 90670 |
|
275 |
180 |
$0.00 |
| 90734 |
|
193 |
124 |
$0.00 |
| 90707 |
|
92 |
73 |
$0.00 |
| 90648 |
|
143 |
97 |
$0.00 |
| 90633 |
|
114 |
68 |
$0.00 |