| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
34,246 |
24,001 |
$2.96M |
| 99199 |
Unlisted special service, procedure or report |
105,500 |
49,388 |
$593K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,467 |
1,174 |
$10K |
| 0011A |
|
92 |
87 |
$4K |
| 0012A |
|
71 |
70 |
$4K |
| 0001A |
|
128 |
73 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
284 |
81 |
$4K |
| 0002A |
|
106 |
64 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
802 |
558 |
$3K |
| 0013A |
|
47 |
30 |
$1K |
| 0072A |
|
22 |
18 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
13 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$963.96 |
| 0071A |
|
27 |
13 |
$869.73 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
62 |
25 |
$221.35 |
| 92551 |
|
25 |
15 |
$90.96 |
| Q3014 |
Telehealth originating site facility fee |
56 |
14 |
$61.53 |
| 99173 |
|
33 |
17 |
$6.00 |
| 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 |
291 |
256 |
$0.00 |
| 91301 |
|
119 |
116 |
$0.00 |
| 91307 |
|
15 |
15 |
$0.00 |
| 91300 |
|
101 |
91 |
$0.00 |