| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,480 |
3,859 |
$1.08M |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
1,621 |
1,481 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,364 |
1,273 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,386 |
1,301 |
$17K |
| 90480 |
|
120 |
118 |
$4K |
| 91322 |
|
33 |
33 |
$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 |
27 |
24 |
$2K |
| 99215 |
Prolong outpt/office vis |
227 |
213 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
199 |
191 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
165 |
147 |
$2K |
| 99000 |
|
347 |
316 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
93 |
86 |
$802.14 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
129 |
124 |
$534.76 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
49 |
49 |
$516.70 |
| 36415 |
Collection of venous blood by venipuncture |
184 |
180 |
$377.58 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
98 |
96 |
$357.19 |
| 99173 |
|
56 |
56 |
$273.44 |
| 90715 |
|
188 |
188 |
$255.38 |
| 90686 |
|
153 |
152 |
$255.38 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
867 |
851 |
$125.87 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
151 |
142 |
$112.65 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
548 |
538 |
$0.00 |
| 90713 |
|
209 |
209 |
$0.00 |
| 90633 |
|
255 |
254 |
$0.00 |
| 90461 |
|
187 |
186 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
103 |
97 |
$0.00 |
| 92015 |
Determination of refractive state |
130 |
125 |
$0.00 |
| 91321 |
|
21 |
21 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
391 |
379 |
$0.00 |
| 99188 |
|
42 |
42 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
74 |
74 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 90707 |
|
29 |
27 |
$0.00 |
| 90744 |
|
100 |
99 |
$0.00 |
| 90677 |
|
67 |
67 |
$0.00 |
| 90656 |
|
135 |
135 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
56 |
56 |
$0.00 |
| 90651 |
|
16 |
16 |
$0.00 |