| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
8,948 |
8,138 |
$1.30M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,915 |
2,667 |
$66K |
| G0378 |
Hospital observation service, per hour |
2,322 |
2,085 |
$54K |
| 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 |
773 |
688 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
507 |
488 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
186 |
186 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
191 |
187 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
52 |
50 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
265 |
263 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
31 |
24 |
$2K |
| 85018 |
|
395 |
395 |
$973.74 |
| 92551 |
|
54 |
54 |
$484.95 |
| 0521 |
|
13 |
13 |
$311.48 |
| 81002 |
|
133 |
128 |
$288.59 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
112 |
112 |
$0.00 |