| Code | Description | Claims | Bene. Records | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
15,254 |
10,598 |
$8.88M |
| 00003 |
Internal/system code - not a standard HCPCS code |
12,370 |
8,993 |
$6.52M |
| 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 |
1,790 |
1,544 |
$820K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,112 |
5,269 |
$335.26 |
| 99173 |
|
14 |
14 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,493 |
735 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
735 |
696 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
32 |
30 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
150 |
87 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
26 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
12 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,536 |
4,057 |
$0.00 |
| 99000 |
|
25 |
22 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
17 |
15 |
$0.00 |
| 92551 |
|
17 |
17 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
29 |
27 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
12 |
$0.00 |