| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
19,608 |
14,745 |
$1.31M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,103 |
11,132 |
$391K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,015 |
4,413 |
$227K |
| 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 |
1,904 |
1,559 |
$23K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
604 |
293 |
$16K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,172 |
703 |
$9K |
| 99406 |
|
2,019 |
1,080 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
171 |
100 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
644 |
340 |
$4K |
| 90674 |
|
258 |
108 |
$4K |
| S9470 |
Nutritional counseling, dietitian visit |
4,436 |
2,792 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,583 |
1,010 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
630 |
310 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
104 |
53 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
77 |
37 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
302 |
236 |
$2K |
| 90688 |
|
252 |
127 |
$1K |
| 90756 |
|
184 |
104 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
214 |
110 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
36 |
33 |
$765.33 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
22 |
12 |
$614.56 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
53 |
25 |
$307.31 |
| 90658 |
|
92 |
50 |
$278.43 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
238 |
126 |
$170.02 |
| 90461 |
|
415 |
140 |
$145.00 |
| 81025 |
|
63 |
26 |
$109.82 |
| 90715 |
|
19 |
12 |
$57.00 |
| 1000F |
|
1,383 |
1,117 |
$0.00 |
| 3079F |
|
1,070 |
624 |
$0.00 |
| 3074F |
|
1,381 |
816 |
$0.00 |
| 99000 |
|
460 |
415 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
590 |
544 |
$0.00 |
| 90686 |
|
31 |
31 |
$0.00 |
| 3008F |
|
1,662 |
1,087 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
71 |
62 |
$0.00 |
| 90651 |
|
33 |
13 |
$0.00 |
| 90619 |
|
31 |
12 |
$0.00 |
| 97802 |
|
27 |
15 |
$0.00 |
| 3044F |
|
55 |
31 |
$0.00 |
| 3075F |
|
348 |
191 |
$0.00 |
| 3078F |
|
730 |
454 |
$0.00 |
| 97803 |
|
161 |
142 |
$0.00 |
| 98960 |
|
263 |
222 |
$0.00 |
| 99408 |
|
515 |
285 |
$0.00 |
| 2014F |
|
123 |
109 |
$0.00 |
| 1003F |
|
27 |
27 |
$0.00 |
| 2028F |
|
17 |
13 |
$0.00 |