| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
112,979 |
15,011 |
$30.69M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
39,344 |
6,412 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52,647 |
9,740 |
$6K |
| 96153 |
|
139 |
54 |
$687.05 |
| 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 |
762 |
179 |
$601.97 |
| T1016 |
Case management, each 15 minutes |
54 |
48 |
$499.24 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,106 |
975 |
$294.91 |
| 96152 |
|
551 |
364 |
$210.79 |
| 0031A |
|
15 |
14 |
$40.00 |
| 0011A |
|
57 |
50 |
$33.88 |
| 99215 |
Prolong outpt/office vis |
200 |
172 |
$32.78 |
| 96127 |
|
1,449 |
1,052 |
$19.96 |
| 99000 |
|
749 |
512 |
$7.18 |
| 96158 |
|
3,253 |
1,694 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,878 |
1,269 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,299 |
550 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
200 |
186 |
$0.00 |
| 97116 |
|
76 |
24 |
$0.00 |
| 99408 |
|
41 |
35 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
42 |
29 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
506 |
122 |
$0.00 |
| 90756 |
|
160 |
127 |
$0.00 |
| 90674 |
|
77 |
72 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
805 |
488 |
$0.00 |
| 0012A |
|
46 |
46 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
285 |
235 |
$0.00 |
| 86580 |
|
103 |
101 |
$0.00 |
| 96156 |
|
920 |
727 |
$0.00 |
| 90688 |
|
17 |
15 |
$0.00 |
| 99406 |
|
78 |
40 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
13 |
13 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
31 |
28 |
$0.00 |