| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,834 |
1,962 |
$136K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,334 |
1,235 |
$61K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,050 |
1,643 |
$51K |
| 99406 |
|
584 |
351 |
$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 |
161 |
148 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
563 |
325 |
$2K |
| 90674 |
|
78 |
35 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
69 |
31 |
$318.50 |
| 90688 |
|
22 |
14 |
$17.84 |
| 3074F |
|
156 |
148 |
$0.00 |
| 1000F |
|
64 |
61 |
$0.00 |
| 3079F |
|
70 |
67 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
44 |
42 |
$0.00 |
| 3075F |
|
14 |
13 |
$0.00 |
| 3078F |
|
89 |
85 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
1,677 |
1,025 |
$0.00 |