| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
16,145 |
14,304 |
$1.97M |
| 0011A |
|
197 |
194 |
$7K |
| 0012A |
|
175 |
174 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,028 |
5,343 |
$5K |
| 0002A |
|
63 |
63 |
$3K |
| 0001A |
|
58 |
58 |
$2K |
| 3074F |
|
986 |
907 |
$2K |
| 3078F |
|
804 |
767 |
$2K |
| 3079F |
|
736 |
685 |
$2K |
| 3075F |
|
511 |
486 |
$640.00 |
| 3077F |
|
336 |
309 |
$624.59 |
| 0064A |
|
15 |
15 |
$560.00 |
| 3080F |
|
331 |
302 |
$371.72 |
| 3044F |
|
271 |
246 |
$277.97 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,263 |
2,152 |
$216.03 |
| 3051F |
|
17 |
14 |
$30.00 |
| 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 |
1,146 |
979 |
$28.81 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
152 |
145 |
$10.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
80 |
72 |
$6.30 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,163 |
2,010 |
$0.00 |
| 3008F |
|
7,679 |
6,806 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
301 |
265 |
$0.00 |
| 90686 |
|
87 |
86 |
$0.00 |
| 87428 |
|
60 |
60 |
$0.00 |
| 90656 |
|
66 |
66 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
138 |
130 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
226 |
221 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
41 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
38 |
38 |
$0.00 |
| 90734 |
|
14 |
12 |
$0.00 |