| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
13,851 |
12,917 |
$1.21M |
| 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 |
1,333 |
1,260 |
$23K |
| 90832 |
Psychotherapy, 30 minutes with patient |
721 |
468 |
$14K |
| 90791 |
Psychiatric diagnostic evaluation |
109 |
104 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
380 |
360 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,119 |
16,768 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,682 |
2,445 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,286 |
2,130 |
$378.22 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,239 |
3,006 |
$150.86 |
| 92552 |
|
243 |
243 |
$65.68 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
13 |
$59.01 |
| 90688 |
|
791 |
633 |
$43.86 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
387 |
246 |
$36.76 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
254 |
166 |
$34.11 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
182 |
172 |
$33.73 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,391 |
2,179 |
$8.78 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
940 |
937 |
$8.54 |
| 81025 |
|
38 |
36 |
$5.60 |
| 82962 |
|
364 |
342 |
$2.56 |
| 85018 |
|
1,079 |
820 |
$2.14 |
| 90651 |
|
162 |
93 |
$0.00 |
| 3075F |
|
2,158 |
2,107 |
$0.00 |
| 3079F |
|
4,016 |
3,881 |
$0.00 |
| 3074F |
|
5,833 |
5,606 |
$0.00 |
| 90686 |
|
833 |
632 |
$0.00 |
| 90677 |
|
69 |
67 |
$0.00 |
| 3080F |
|
1,008 |
950 |
$0.00 |
| 90698 |
|
249 |
162 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
14 |
14 |
$0.00 |
| 3044F |
|
202 |
201 |
$0.00 |
| 90680 |
|
129 |
87 |
$0.00 |
| 90620 |
|
24 |
14 |
$0.00 |
| 90739 |
|
67 |
67 |
$0.00 |
| 99000 |
|
41 |
41 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
104 |
78 |
$0.00 |
| 90744 |
|
91 |
59 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
16 |
13 |
$0.00 |
| 86580 |
|
23 |
13 |
$0.00 |
| 11730 |
|
14 |
14 |
$0.00 |
| 0064A |
|
12 |
12 |
$0.00 |
| 94014 |
|
13 |
13 |
$0.00 |
| 99443 |
|
12 |
12 |
$0.00 |
| 99384 |
|
22 |
15 |
$0.00 |
| 90670 |
|
332 |
218 |
$0.00 |
| 3078F |
|
5,026 |
4,788 |
$0.00 |
| 3077F |
|
2,086 |
1,931 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
437 |
248 |
$0.00 |
| 90715 |
|
142 |
128 |
$0.00 |
| 99173 |
|
249 |
249 |
$0.00 |
| 90633 |
|
79 |
57 |
$0.00 |
| 81002 |
|
412 |
362 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
265 |
247 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
806 |
667 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
549 |
318 |
$0.00 |
| 90658 |
|
62 |
62 |
$0.00 |
| 90734 |
|
121 |
71 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
135 |
126 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
24 |
24 |
$0.00 |
| 90750 |
|
91 |
90 |
$0.00 |
| 90710 |
|
17 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$0.00 |
| 59425 |
|
14 |
12 |
$0.00 |
| 3046F |
|
13 |
13 |
$0.00 |