| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
40,745 |
35,741 |
$4.84M |
| 0012A |
|
262 |
241 |
$11K |
| 0011A |
|
342 |
292 |
$8K |
| 0013A |
|
203 |
164 |
$1K |
| 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 |
1,167 |
1,093 |
$334.74 |
| 98940 |
|
3,244 |
1,832 |
$200.64 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
258 |
205 |
$82.76 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,211 |
4,383 |
$37.50 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,653 |
22,713 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,715 |
6,636 |
$0.00 |
| 99441 |
|
8,909 |
5,298 |
$0.00 |
| 3074F |
|
249 |
213 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,804 |
3,404 |
$0.00 |
| 88142 |
|
16 |
12 |
$0.00 |
| 99000 |
|
767 |
519 |
$0.00 |
| 3044F |
|
475 |
409 |
$0.00 |
| 85018 |
|
2,510 |
1,725 |
$0.00 |
| 3079F |
|
235 |
189 |
$0.00 |
| 90686 |
|
3,448 |
2,637 |
$0.00 |
| 90739 |
|
1,038 |
799 |
$0.00 |
| 99406 |
|
562 |
416 |
$0.00 |
| 90632 |
|
161 |
126 |
$0.00 |
| 91301 |
|
831 |
733 |
$0.00 |
| 0134A |
|
17 |
15 |
$0.00 |
| 98967 |
|
83 |
82 |
$0.00 |
| 93000 |
|
83 |
70 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
163 |
133 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
213 |
140 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
149 |
134 |
$0.00 |
| 90688 |
|
212 |
195 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
32 |
29 |
$0.00 |
| 3075F |
|
92 |
82 |
$0.00 |
| 3080F |
|
67 |
56 |
$0.00 |
| 90651 |
|
128 |
80 |
$0.00 |
| 90656 |
|
392 |
299 |
$0.00 |
| 82270 |
|
25 |
25 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
18 |
12 |
$0.00 |
| 81003 |
|
7,681 |
5,186 |
$0.00 |
| 99173 |
|
8,772 |
5,991 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,260 |
1,567 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,633 |
998 |
$0.00 |
| 90715 |
|
477 |
401 |
$0.00 |
| 92552 |
|
9,188 |
6,321 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,698 |
6,026 |
$0.00 |
| 99442 |
|
2,303 |
1,358 |
$0.00 |
| 81025 |
|
43 |
27 |
$0.00 |
| 82948 |
|
4,054 |
2,776 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
966 |
691 |
$0.00 |
| 90707 |
|
186 |
151 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
280 |
201 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
24 |
16 |
$0.00 |
| 3077F |
|
221 |
177 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
216 |
141 |
$0.00 |
| 90746 |
|
119 |
96 |
$0.00 |
| 3051F |
|
52 |
41 |
$0.00 |
| 3078F |
|
248 |
210 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
736 |
509 |
$0.00 |
| 98966 |
|
387 |
374 |
$0.00 |
| 3046F |
|
28 |
25 |
$0.00 |
| 97810 |
|
63 |
37 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
63 |
48 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
15 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
59 |
32 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54 |
31 |
$0.00 |
| 97811 |
|
63 |
37 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
31 |
16 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
38 |
24 |
$0.00 |