| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
122,249 |
92,034 |
$17.79M |
| 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 |
7,383 |
6,441 |
$253K |
| 80305 |
|
7,970 |
5,735 |
$65K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,279 |
12,561 |
$32K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,546 |
2,334 |
$26K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,171 |
1,098 |
$20K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,101 |
1,075 |
$20K |
| 97810 |
|
691 |
326 |
$17K |
| 97802 |
|
141 |
141 |
$15K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
621 |
578 |
$14K |
| 97811 |
|
695 |
326 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
66 |
66 |
$12K |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
72 |
50 |
$10K |
| 99215 |
Prolong outpt/office vis |
2,100 |
1,989 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,143 |
5,690 |
$8K |
| 0012A |
|
153 |
153 |
$7K |
| 0011A |
|
183 |
183 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
43 |
43 |
$7K |
| 99000 |
|
6,216 |
4,711 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19,608 |
15,563 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
598 |
596 |
$5K |
| 81025 |
|
835 |
714 |
$5K |
| 97813 |
|
194 |
78 |
$5K |
| 90686 |
|
329 |
323 |
$5K |
| 97814 |
|
198 |
78 |
$4K |
| 0031A |
|
73 |
73 |
$3K |
| 97803 |
|
59 |
50 |
$3K |
| 99050 |
|
61 |
57 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
26 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
66 |
66 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
198 |
194 |
$885.35 |
| 82962 |
|
269 |
258 |
$741.85 |
| 92551 |
|
61 |
61 |
$602.75 |
| 93000 |
|
32 |
32 |
$391.49 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
13 |
$213.64 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
48 |
48 |
$158.22 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
91 |
91 |
$21.16 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
91 |
91 |
$0.00 |
| 91301 |
|
277 |
275 |
$0.00 |
| 91303 |
|
27 |
27 |
$0.00 |
| 91305 |
|
12 |
12 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
39 |
37 |
$0.00 |