| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
22,053 |
17,500 |
$3.67M |
| 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 |
290 |
239 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,708 |
7,414 |
$269.42 |
| 0011A |
|
20 |
17 |
$100.71 |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,120 |
858 |
$67.16 |
| 90832 |
Psychotherapy, 30 minutes with patient |
347 |
274 |
$52.87 |
| 90837 |
Psychotherapy, 53 minutes with patient |
158 |
123 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
253 |
242 |
$0.00 |
| 99173 |
|
952 |
936 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
234 |
229 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
156 |
151 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
173 |
166 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
91 |
91 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
16 |
$0.00 |
| 81003 |
|
260 |
233 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
26 |
26 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
26 |
$0.00 |
| 87428 |
|
75 |
73 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
621 |
574 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,102 |
1,089 |
$0.00 |
| 85018 |
|
1,123 |
1,113 |
$0.00 |
| 90656 |
|
42 |
42 |
$0.00 |
| 92551 |
|
497 |
496 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
336 |
300 |
$0.00 |
| 90688 |
|
150 |
150 |
$0.00 |
| 90686 |
|
88 |
87 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
177 |
157 |
$0.00 |
| 82962 |
|
16 |
16 |
$0.00 |