| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
42,682 |
38,434 |
$4.44M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,283 |
13,019 |
$67K |
| 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 |
765 |
700 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,234 |
5,171 |
$31K |
| 99215 |
Prolong outpt/office vis |
1,065 |
835 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,713 |
2,441 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
224 |
193 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
550 |
520 |
$1K |
| 99000 |
|
2,501 |
2,205 |
$1K |
| 90686 |
|
569 |
514 |
$906.21 |
| 92551 |
|
877 |
821 |
$898.49 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
179 |
168 |
$796.53 |
| 0011A |
|
18 |
18 |
$609.84 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
323 |
315 |
$450.79 |
| 85018 |
|
935 |
892 |
$425.55 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
277 |
266 |
$400.03 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
40 |
40 |
$234.24 |
| 99173 |
|
1,008 |
950 |
$101.43 |
| 2001F |
|
4,161 |
3,729 |
$68.64 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
299 |
294 |
$48.00 |
| 90723 |
|
89 |
86 |
$27.00 |
| 90647 |
|
177 |
173 |
$18.00 |
| 90680 |
|
85 |
85 |
$18.00 |
| 90670 |
|
111 |
106 |
$9.00 |
| 90710 |
|
44 |
41 |
$6.75 |
| 90696 |
|
40 |
37 |
$6.75 |
| 3078F |
|
1,664 |
1,601 |
$0.00 |
| 90648 |
|
31 |
31 |
$0.00 |
| 83655 |
|
160 |
157 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
2,229 |
2,135 |
$0.00 |
| 3077F |
|
326 |
301 |
$0.00 |
| 3050F |
|
233 |
210 |
$0.00 |
| 90700 |
|
15 |
15 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
326 |
301 |
$0.00 |
| 90633 |
|
57 |
55 |
$0.00 |
| 81003 |
|
14 |
13 |
$0.00 |
| 90734 |
|
59 |
56 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 1036F |
|
2,633 |
2,356 |
$0.00 |
| 3074F |
|
1,926 |
1,848 |
$0.00 |
| 1111F |
|
2,282 |
2,147 |
$0.00 |
| 90656 |
|
182 |
178 |
$0.00 |
| 3079F |
|
684 |
655 |
$0.00 |
| 3075F |
|
258 |
252 |
$0.00 |
| 3048F |
|
465 |
420 |
$0.00 |
| 3049F |
|
341 |
306 |
$0.00 |
| 3080F |
|
161 |
149 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,370 |
2,261 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
103 |
102 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
206 |
189 |
$0.00 |
| 3008F |
|
4,162 |
3,730 |
$0.00 |
| 90677 |
|
138 |
134 |
$0.00 |
| 90651 |
|
51 |
50 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 99383 |
|
16 |
16 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$0.00 |
| 99384 |
|
13 |
13 |
$0.00 |