| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,546 |
5,921 |
$438K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,305 |
5,526 |
$251K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,567 |
2,680 |
$84K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
332 |
183 |
$14K |
| 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 |
1,877 |
1,708 |
$13K |
| 90674 |
|
320 |
211 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
63 |
39 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
330 |
206 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
385 |
231 |
$1K |
| 90715 |
|
31 |
19 |
$793.14 |
| 82962 |
|
417 |
259 |
$408.15 |
| 90686 |
|
50 |
30 |
$243.87 |
| 1111F |
|
1,477 |
826 |
$125.00 |
| 1036F |
|
1,731 |
966 |
$0.00 |
| 3008F |
|
5,601 |
3,072 |
$0.00 |
| 3079F |
|
2,162 |
1,192 |
$0.00 |
| 3080F |
|
1,108 |
591 |
$0.00 |
| 3074F |
|
2,917 |
1,622 |
$0.00 |
| 3075F |
|
1,077 |
593 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,809 |
1,531 |
$0.00 |
| 2001F |
|
5,614 |
3,071 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
835 |
427 |
$0.00 |
| 1034F |
|
1,394 |
786 |
$0.00 |
| 1035F |
|
129 |
72 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
2,673 |
1,452 |
$0.00 |
| 3078F |
|
2,245 |
1,246 |
$0.00 |
| 4004F |
|
1,896 |
1,023 |
$0.00 |
| 3077F |
|
1,464 |
796 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
930 |
490 |
$0.00 |