| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,829 |
3,555 |
$238K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,017 |
1,923 |
$157.80 |
| 1159F |
|
1,087 |
1,008 |
$0.00 |
| 3078F |
|
582 |
541 |
$0.00 |
| G9920 |
Screening performed and negative |
105 |
105 |
$0.00 |
| 99080 |
|
222 |
211 |
$0.00 |
| 96160 |
|
241 |
233 |
$0.00 |
| 99348 |
|
104 |
98 |
$0.00 |
| 3077F |
|
67 |
63 |
$0.00 |
| 99499 |
|
18 |
18 |
$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 |
2,740 |
2,569 |
$0.00 |
| 3008F |
|
891 |
824 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
454 |
437 |
$0.00 |
| 1036F |
|
330 |
313 |
$0.00 |
| 3075F |
|
117 |
113 |
$0.00 |
| 1000F |
|
392 |
378 |
$0.00 |
| 3074F |
|
584 |
545 |
$0.00 |
| 1034F |
|
89 |
88 |
$0.00 |
| 3351F |
|
21 |
21 |
$0.00 |
| 3079F |
|
215 |
209 |
$0.00 |
| 91301 |
|
15 |
15 |
$0.00 |
| 3080F |
|
14 |
14 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
13 |
$0.00 |