| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
2,870 |
1,206 |
$96K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,560 |
1,390 |
$70K |
| 0012A |
|
395 |
382 |
$16K |
| 0011A |
|
426 |
412 |
$9K |
| 0064A |
|
153 |
146 |
$6K |
| 0002A |
|
124 |
124 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
53 |
49 |
$4K |
| 0001A |
|
105 |
105 |
$3K |
| 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 |
18 |
12 |
$3K |
| 0004A |
|
38 |
38 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
89 |
78 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
60 |
59 |
$848.75 |
| 0072A |
|
14 |
13 |
$582.82 |
| 80305 |
|
18 |
13 |
$173.64 |
| 90686 |
|
34 |
29 |
$16.50 |
| 91301 |
|
106 |
102 |
$1.52 |