| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,292 |
1,202 |
$22K |
| 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 |
863 |
720 |
$15K |
| T1015 |
Clinic visit/encounter, all-inclusive |
65 |
56 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
242 |
229 |
$10K |
| 90832 |
Psychotherapy, 30 minutes with patient |
166 |
145 |
$5K |
| 90834 |
Psychotherapy, 45 minutes with patient |
72 |
60 |
$3K |
| 92015 |
Determination of refractive state |
116 |
113 |
$912.11 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
32 |
32 |
$890.66 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
23 |
23 |
$804.06 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
22 |
22 |
$664.65 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$169.60 |
| 96127 |
|
28 |
27 |
$0.00 |