| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
10,582 |
8,661 |
$2.22M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
632 |
549 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
535 |
441 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
133 |
115 |
$6K |
| 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 |
384 |
226 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
24 |
$1K |
| 90670 |
|
49 |
41 |
$512.46 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
454 |
276 |
$337.64 |
| 90686 |
|
16 |
12 |
$169.95 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
21 |
19 |
$0.00 |
| 90461 |
|
14 |
13 |
$0.00 |