| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
32,729 |
28,144 |
$3.95M |
| 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 |
5,528 |
4,283 |
$161K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,834 |
23,878 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,122 |
3,103 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
35 |
27 |
$322.63 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
326 |
243 |
$107.62 |
| 99000 |
|
1,812 |
1,428 |
$35.69 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
26 |
$30.87 |
| 85018 |
|
1,017 |
787 |
$1.66 |
| 81003 |
|
419 |
292 |
$1.57 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
284 |
226 |
$0.00 |
| 3077F |
|
301 |
238 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
2,100 |
1,663 |
$0.00 |
| 3078F |
|
1,394 |
1,156 |
$0.00 |
| 99173 |
|
405 |
309 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
30 |
30 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
58 |
42 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
19 |
13 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
22 |
16 |
$0.00 |
| 90734 |
|
15 |
12 |
$0.00 |
| 1111F |
|
3,602 |
2,902 |
$0.00 |
| 2001F |
|
4,836 |
3,662 |
$0.00 |
| 3049F |
|
15 |
12 |
$0.00 |
| 3008F |
|
4,837 |
3,663 |
$0.00 |
| 3074F |
|
1,685 |
1,357 |
$0.00 |
| 90651 |
|
21 |
16 |
$0.00 |
| 1036F |
|
3,503 |
2,665 |
$0.00 |
| 3079F |
|
815 |
644 |
$0.00 |
| 81005 |
|
443 |
330 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,297 |
1,807 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
53 |
40 |
$0.00 |
| 92551 |
|
296 |
227 |
$0.00 |
| 3080F |
|
37 |
26 |
$0.00 |
| 3075F |
|
88 |
60 |
$0.00 |
| 82962 |
|
19 |
17 |
$0.00 |
| 3048F |
|
133 |
61 |
$0.00 |
| 90686 |
|
62 |
52 |
$0.00 |
| 1034F |
|
22 |
16 |
$0.00 |
| 81000 |
|
13 |
13 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |
| 90656 |
|
28 |
21 |
$0.00 |