| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
5,468 |
5,038 |
$432K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,834 |
3,575 |
$89K |
| 3008F |
|
935 |
901 |
$18K |
| 1111F |
|
897 |
855 |
$17K |
| 3074F |
|
592 |
574 |
$12K |
| 1160F |
|
613 |
591 |
$11K |
| 3078F |
|
503 |
485 |
$11K |
| 1159F |
|
471 |
451 |
$9K |
| 1031F |
|
454 |
437 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
592 |
570 |
$7K |
| 1033F |
|
254 |
246 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
191 |
178 |
$5K |
| 3351F |
|
160 |
155 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
129 |
124 |
$4K |
| 3079F |
|
196 |
190 |
$4K |
| 1034F |
|
163 |
158 |
$4K |
| 3725F |
|
90 |
88 |
$2K |
| 4000F |
|
114 |
106 |
$2K |
| 3075F |
|
68 |
63 |
$1K |
| 1090F |
|
39 |
37 |
$934.20 |
| 1101F |
|
39 |
37 |
$934.20 |
| 1032F |
|
32 |
31 |
$561.04 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
75 |
61 |
$461.60 |
| 3077F |
|
50 |
49 |
$375.76 |
| 3048F |
|
28 |
26 |
$292.60 |
| 99408 |
|
18 |
18 |
$281.82 |
| 90686 |
|
31 |
30 |
$273.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
29 |
26 |
$230.80 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
15 |
$187.88 |
| 3080F |
|
13 |
13 |
$146.30 |
| 90632 |
|
26 |
16 |
$25.00 |
| 80305 |
|
36 |
27 |
$0.00 |
| 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 |
849 |
780 |
$0.00 |