| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
8,106 |
5,591 |
$1.11M |
| 99199 |
Unlisted special service, procedure or report |
22,261 |
8,323 |
$124K |
| 80305 |
|
2,707 |
1,689 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
747 |
578 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
394 |
256 |
$3K |
| 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 |
15 |
13 |
$365.64 |
| 36415 |
Collection of venous blood by venipuncture |
63 |
54 |
$147.11 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
14 |
$35.15 |
| 3078F |
|
61 |
55 |
$0.00 |
| 99000 |
|
26 |
25 |
$0.00 |
| 3074F |
|
69 |
62 |
$0.00 |