| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
15,719 |
13,779 |
$1.89M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,178 |
6,802 |
$9K |
| 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 |
94 |
90 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
339 |
241 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
326 |
236 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
220 |
174 |
$1K |
| 90670 |
|
45 |
38 |
$1K |
| 92552 |
|
756 |
536 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
85 |
85 |
$916.83 |
| 90734 |
|
101 |
71 |
$760.86 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
787 |
647 |
$702.35 |
| 90651 |
|
90 |
71 |
$516.60 |
| 96150 |
|
343 |
243 |
$499.80 |
| 90710 |
|
18 |
12 |
$405.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
29 |
26 |
$404.40 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
350 |
231 |
$375.84 |
| 36415 |
Collection of venous blood by venipuncture |
1,795 |
1,701 |
$369.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
220 |
190 |
$368.63 |
| 99000 |
|
2,220 |
2,079 |
$341.05 |
| 90686 |
|
344 |
228 |
$279.12 |
| 90832 |
Psychotherapy, 30 minutes with patient |
47 |
37 |
$212.73 |
| 96127 |
|
405 |
270 |
$147.56 |
| 90715 |
|
37 |
31 |
$108.45 |
| 90696 |
|
18 |
12 |
$106.72 |
| 90633 |
|
37 |
26 |
$72.25 |
| 85018 |
|
630 |
521 |
$34.85 |
| 82948 |
|
181 |
156 |
$16.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
203 |
194 |
$0.00 |
| 90688 |
|
60 |
60 |
$0.00 |
| 90647 |
|
13 |
13 |
$0.00 |
| 1038F |
|
13 |
12 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
38 |
38 |
$0.00 |
| 90461 |
|
221 |
221 |
$0.00 |
| 99173 |
|
913 |
679 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
533 |
533 |
$0.00 |
| 81025 |
|
30 |
29 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$0.00 |