| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
11,569 |
9,333 |
$2.15M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,455 |
3,922 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,338 |
2,009 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
963 |
928 |
$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 |
539 |
461 |
$429.12 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
136 |
136 |
$127.11 |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$78.62 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
280 |
280 |
$61.14 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,636 |
1,543 |
$12.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
786 |
777 |
$12.00 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
16 |
15 |
$1.11 |
| 99385 |
|
115 |
113 |
$0.00 |
| 90698 |
|
38 |
38 |
$0.00 |
| 99383 |
|
15 |
15 |
$0.00 |
| 82962 |
|
140 |
135 |
$0.00 |
| 90716 |
|
73 |
73 |
$0.00 |
| 90744 |
|
163 |
162 |
$0.00 |
| 92551 |
|
330 |
330 |
$0.00 |
| 99386 |
|
80 |
80 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
62 |
58 |
$0.00 |
| 90686 |
|
112 |
112 |
$0.00 |
| 90656 |
|
155 |
155 |
$0.00 |
| 97802 |
|
12 |
12 |
$0.00 |
| 90651 |
|
18 |
18 |
$0.00 |
| 99384 |
|
18 |
14 |
$0.00 |
| 99441 |
|
14 |
14 |
$0.00 |
| 99173 |
|
542 |
542 |
$0.00 |
| 90715 |
|
108 |
108 |
$0.00 |
| 92552 |
|
36 |
36 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
132 |
121 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
202 |
197 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
78 |
76 |
$0.00 |
| 90633 |
|
258 |
258 |
$0.00 |
| 90670 |
|
117 |
117 |
$0.00 |
| 90734 |
|
97 |
97 |
$0.00 |
| 99201 |
|
12 |
12 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
192 |
191 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
80 |
80 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
37 |
36 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
17 |
$0.00 |
| 90707 |
|
67 |
67 |
$0.00 |
| 90713 |
|
28 |
28 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
18 |
18 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |