| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
21,780 |
17,443 |
$4.17M |
| 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 |
14,855 |
13,177 |
$1.18M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,515 |
8,227 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,604 |
5,186 |
$856.91 |
| 90834 |
Psychotherapy, 45 minutes with patient |
660 |
401 |
$610.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
754 |
708 |
$417.27 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
33 |
25 |
$202.92 |
| 90791 |
Psychiatric diagnostic evaluation |
112 |
107 |
$117.88 |
| 0003A |
|
30 |
30 |
$86.71 |
| 96127 |
|
432 |
379 |
$4.95 |
| 99173 |
|
257 |
203 |
$3.68 |
| 90837 |
Psychotherapy, 53 minutes with patient |
555 |
321 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
213 |
204 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
146 |
141 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
565 |
522 |
$0.00 |
| 80061 |
Lipid panel |
27 |
27 |
$0.00 |
| 0002A |
|
38 |
38 |
$0.00 |
| 91300 |
|
68 |
68 |
$0.00 |
| 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 |
28 |
26 |
$0.00 |
| 90670 |
|
16 |
15 |
$0.00 |
| 90461 |
|
49 |
39 |
$0.00 |
| T2023 |
Targeted case management; per month |
14 |
13 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
54 |
47 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
34 |
33 |
$0.00 |
| 99442 |
|
159 |
127 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
17 |
17 |
$0.00 |
| 97803 |
|
14 |
14 |
$0.00 |
| 99406 |
|
1,926 |
1,713 |
$0.00 |
| 0001A |
|
48 |
48 |
$0.00 |
| 2010F |
|
4,914 |
3,974 |
$0.00 |
| 2000F |
|
4,895 |
3,950 |
$0.00 |
| 0011A |
|
254 |
252 |
$0.00 |
| 92551 |
|
206 |
189 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
96 |
96 |
$0.00 |
| 1000F |
|
1,106 |
960 |
$0.00 |
| 2001F |
|
4,942 |
3,985 |
$0.00 |
| 36416 |
|
91 |
85 |
$0.00 |
| 90674 |
|
524 |
426 |
$0.00 |
| 91301 |
|
241 |
236 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
14 |
$0.00 |
| 4037F |
|
83 |
83 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
303 |
179 |
$0.00 |
| 81001 |
|
47 |
45 |
$0.00 |
| 90688 |
|
13 |
13 |
$0.00 |
| 4000F |
|
94 |
91 |
$0.00 |
| 91306 |
|
38 |
38 |
$0.00 |
| 1036F |
|
77 |
70 |
$0.00 |
| 86592 |
|
27 |
27 |
$0.00 |
| 0064A |
|
57 |
57 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
12 |
12 |
$0.00 |
| 99386 |
|
28 |
28 |
$0.00 |
| 0012A |
|
20 |
20 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
17 |
16 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
14 |
$0.00 |