| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,630 |
3,264 |
$718K |
| 3725F |
|
2,022 |
1,816 |
$5K |
| 3074F |
|
88 |
85 |
$310.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,456 |
1,309 |
$266.44 |
| 3079F |
|
12 |
12 |
$100.00 |
| 3008F |
|
1,022 |
874 |
$0.03 |
| 1036F |
|
820 |
695 |
$0.02 |
| 90682 |
|
13 |
13 |
$0.00 |
| 3078F |
|
30 |
30 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
62 |
62 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
480 |
453 |
$0.00 |
| 90686 |
|
37 |
34 |
$0.00 |
| 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 |
41 |
30 |
$0.00 |
| 4010F |
|
170 |
164 |
$0.00 |
| 36416 |
|
60 |
57 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
27 |
27 |
$0.00 |
| 1034F |
|
19 |
13 |
$0.00 |
| 82962 |
|
18 |
17 |
$0.00 |