| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
19,296 |
17,598 |
$4.15M |
| 3074F |
|
1,372 |
1,343 |
$9K |
| 3078F |
|
1,117 |
1,096 |
$8K |
| 3079F |
|
740 |
725 |
$7K |
| 99499 |
|
483 |
444 |
$6K |
| 3077F |
|
592 |
567 |
$5K |
| 3080F |
|
286 |
280 |
$2K |
| 3075F |
|
152 |
151 |
$2K |
| 3044F |
|
222 |
218 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,958 |
4,734 |
$839.69 |
| 0011A |
|
48 |
48 |
$728.42 |
| 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 |
268 |
233 |
$665.67 |
| 99215 |
Prolong outpt/office vis |
4,300 |
4,178 |
$609.46 |
| 0012A |
|
14 |
14 |
$429.29 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,589 |
2,407 |
$266.63 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
69 |
68 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
306 |
302 |
$0.00 |
| G9920 |
Screening performed and negative |
280 |
260 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
39 |
37 |
$0.00 |
| 90661 |
|
36 |
36 |
$0.00 |
| 3725F |
|
13 |
13 |
$0.00 |
| 3008F |
|
1,956 |
1,885 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
534 |
529 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
379 |
376 |
$0.00 |
| 90686 |
|
198 |
198 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
185 |
145 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
180 |
178 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
20 |
12 |
$0.00 |
| 3072F |
|
25 |
25 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$0.00 |