| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
8,789 |
7,460 |
$2.67M |
| 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 |
800 |
680 |
$113K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,235 |
1,079 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,819 |
5,176 |
$891.87 |
| 1126F |
|
2,389 |
2,136 |
$241.20 |
| 3008F |
|
3,381 |
2,895 |
$73.04 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,239 |
1,163 |
$32.07 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
230 |
229 |
$0.00 |
| 3074F |
|
1,623 |
1,461 |
$0.00 |
| 1125F |
|
747 |
642 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
138 |
131 |
$0.00 |
| 3075F |
|
157 |
150 |
$0.00 |
| 82962 |
|
452 |
446 |
$0.00 |
| 99000 |
|
117 |
111 |
$0.00 |
| 3079F |
|
245 |
227 |
$0.00 |
| 3080F |
|
25 |
25 |
$0.00 |
| 90698 |
|
15 |
15 |
$0.00 |
| 92551 |
|
139 |
139 |
$0.00 |
| 1220F |
|
38 |
37 |
$0.00 |
| 85018 |
|
257 |
256 |
$0.00 |
| 90686 |
|
94 |
94 |
$0.00 |
| 90744 |
|
14 |
14 |
$0.00 |
| 90688 |
|
44 |
40 |
$0.00 |
| 3078F |
|
1,470 |
1,310 |
$0.00 |
| 3725F |
|
2,697 |
2,277 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
72 |
72 |
$0.00 |
| 81003 |
|
216 |
187 |
$0.00 |
| 3077F |
|
90 |
87 |
$0.00 |
| 99173 |
|
135 |
135 |
$0.00 |
| 90710 |
|
14 |
14 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
68 |
68 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
27 |
$0.00 |
| 90670 |
|
20 |
20 |
$0.00 |
| 59425 |
|
70 |
53 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
67 |
67 |
$0.00 |
| 90633 |
|
19 |
19 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90649 |
|
14 |
14 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
35 |
35 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$0.00 |