| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
15,080 |
12,806 |
$5.25M |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
48,828 |
45,385 |
$231K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,064 |
6,486 |
$20K |
| 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 |
274 |
159 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
114 |
38 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
841 |
635 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$817.74 |
| 96127 |
|
25 |
13 |
$1.82 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
75 |
67 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$0.00 |
| 91301 |
|
27 |
24 |
$0.00 |