| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
9,049 |
7,246 |
$551K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,757 |
2,652 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,507 |
1,243 |
$36K |
| 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 |
159 |
139 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
179 |
120 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
159 |
134 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
64 |
64 |
$1K |
| 92551 |
|
412 |
333 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
97 |
82 |
$1K |
| 90686 |
|
181 |
181 |
$874.38 |
| 85018 |
|
581 |
482 |
$499.27 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$411.60 |
| 81003 |
|
546 |
453 |
$400.09 |
| 99173 |
|
395 |
316 |
$341.90 |
| 90651 |
|
53 |
50 |
$280.58 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$187.23 |
| 90670 |
|
26 |
26 |
$153.00 |
| 90685 |
|
16 |
16 |
$144.00 |
| 90734 |
|
15 |
14 |
$45.00 |
| 81002 |
|
73 |
40 |
$38.70 |
| 86580 |
|
13 |
13 |
$23.52 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
16 |
$6.99 |