| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
12,029 |
9,581 |
$2.08M |
| 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 |
2,580 |
1,932 |
$131K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,502 |
5,098 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,693 |
1,480 |
$917.41 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,253 |
1,087 |
$711.36 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
112 |
95 |
$535.42 |
| 82947 |
|
1,794 |
1,387 |
$218.64 |
| 90746 |
|
76 |
74 |
$144.42 |
| 90686 |
|
74 |
71 |
$102.90 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
149 |
139 |
$80.94 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
158 |
149 |
$80.78 |
| 92551 |
|
164 |
156 |
$66.67 |
| 82950 |
|
37 |
30 |
$62.85 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
43 |
37 |
$52.83 |
| 90658 |
|
26 |
24 |
$52.64 |
| 99173 |
|
218 |
204 |
$44.51 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
64 |
49 |
$37.42 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
650 |
628 |
$36.54 |
| 85018 |
|
241 |
229 |
$22.33 |
| 81003 |
|
125 |
111 |
$11.70 |
| 85014 |
|
49 |
45 |
$4.22 |
| 81000 |
|
14 |
14 |
$2.58 |
| 3078F |
|
13 |
12 |
$0.00 |
| 90750 |
|
17 |
16 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
42 |
29 |
$0.00 |
| 91322 |
|
16 |
16 |
$0.00 |
| 99408 |
|
25 |
25 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
30 |
30 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
14 |
$0.00 |
| 1159F |
|
20 |
19 |
$0.00 |
| 90747 |
|
15 |
15 |
$0.00 |
| 3044F |
|
78 |
61 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
61 |
49 |
$0.00 |
| 93000 |
|
12 |
12 |
$0.00 |