| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
25,951 |
21,485 |
$4.82M |
| 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 |
435 |
302 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,269 |
13,620 |
$22K |
| 36415 |
Collection of venous blood by venipuncture |
1,549 |
1,393 |
$3K |
| 80053 |
Comprehensive metabolic panel |
1,394 |
1,339 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,040 |
1,877 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
217 |
210 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,169 |
1,108 |
$1K |
| 0012A |
|
16 |
16 |
$322.08 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
93 |
92 |
$217.46 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
39 |
39 |
$108.72 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
26 |
$22.32 |
| 90686 |
|
27 |
27 |
$19.37 |
| 81002 |
|
27 |
19 |
$5.25 |
| 1160F |
|
2,598 |
2,369 |
$0.00 |
| 90461 |
|
36 |
36 |
$0.00 |
| 1159F |
|
2,598 |
2,369 |
$0.00 |
| 81003 |
|
12 |
12 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
160 |
160 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
144 |
144 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,140 |
670 |
$0.00 |
| H0031 |
Mental health assessment, by non-physician |
116 |
114 |
$0.00 |
| 3078F |
|
978 |
915 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
119 |
104 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
117 |
60 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
25 |
$0.00 |
| 3074F |
|
1,591 |
1,461 |
$0.00 |
| 3079F |
|
411 |
389 |
$0.00 |
| 3075F |
|
51 |
51 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,718 |
963 |
$0.00 |