| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
11,710 |
8,129 |
$342K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,072 |
7,749 |
$225K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,548 |
2,504 |
$107K |
| 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 |
1,230 |
1,028 |
$14K |
| 99215 |
Prolong outpt/office vis |
360 |
170 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
379 |
253 |
$10K |
| S9470 |
Nutritional counseling, dietitian visit |
4,387 |
2,790 |
$9K |
| 99406 |
|
2,666 |
1,669 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
732 |
352 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
960 |
580 |
$2K |
| 90674 |
|
108 |
58 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
169 |
88 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
31 |
15 |
$734.27 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
23 |
13 |
$683.91 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
43 |
26 |
$459.77 |
| 90746 |
|
24 |
15 |
$209.00 |
| 90688 |
|
49 |
26 |
$130.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
19 |
13 |
$118.69 |
| 90658 |
|
20 |
13 |
$62.34 |
| 99408 |
|
469 |
308 |
$21.00 |
| 90461 |
|
278 |
101 |
$10.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,231 |
1,075 |
$0.00 |
| 1036F |
|
83 |
63 |
$0.00 |
| 3074F |
|
1,232 |
742 |
$0.00 |
| 3008F |
|
3,614 |
2,146 |
$0.00 |
| 1000F |
|
1,997 |
1,616 |
$0.00 |
| 3079F |
|
1,105 |
666 |
$0.00 |
| 3075F |
|
324 |
185 |
$0.00 |
| 97802 |
|
327 |
196 |
$0.00 |
| 90686 |
|
177 |
91 |
$0.00 |
| 4010F |
|
80 |
48 |
$0.00 |
| 4305F |
|
25 |
14 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
159 |
92 |
$0.00 |
| 3080F |
|
27 |
15 |
$0.00 |
| 3077F |
|
108 |
66 |
$0.00 |
| 3078F |
|
682 |
399 |
$0.00 |
| 2028F |
|
338 |
209 |
$0.00 |
| 1003F |
|
24 |
24 |
$0.00 |
| 97803 |
|
40 |
39 |
$0.00 |
| 90756 |
|
17 |
12 |
$0.00 |
| 98960 |
|
77 |
75 |
$0.00 |