| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
21,279 |
17,500 |
$2.40M |
| 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 |
582 |
417 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,944 |
11,967 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,965 |
6,826 |
$643.17 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,469 |
962 |
$159.83 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
894 |
670 |
$79.34 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
161 |
128 |
$72.03 |
| 90686 |
|
357 |
252 |
$24.04 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
37 |
26 |
$21.22 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,908 |
1,233 |
$8.35 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
379 |
258 |
$0.67 |
| 99173 |
|
455 |
274 |
$0.00 |
| 3077F |
|
37 |
17 |
$0.00 |
| 3078F |
|
508 |
276 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
24 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
856 |
451 |
$0.00 |
| 3288F |
|
128 |
69 |
$0.00 |
| 90715 |
|
44 |
29 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
63 |
38 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
37 |
17 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
29 |
14 |
$0.00 |
| 3008F |
|
2,429 |
1,191 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
23 |
14 |
$0.00 |
| 3074F |
|
670 |
360 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
909 |
487 |
$0.00 |
| 96373 |
|
64 |
41 |
$0.00 |
| 1111F |
|
2,133 |
1,068 |
$0.00 |
| 1101F |
|
79 |
40 |
$0.00 |
| 1036F |
|
1,981 |
968 |
$0.00 |
| 2001F |
|
2,429 |
1,191 |
$0.00 |
| 92551 |
|
401 |
245 |
$0.00 |
| 3080F |
|
26 |
12 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,176 |
676 |
$0.00 |
| 99385 |
|
36 |
33 |
$0.00 |
| 3079F |
|
174 |
91 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
69 |
69 |
$0.00 |
| 3048F |
|
138 |
60 |
$0.00 |
| 99386 |
|
52 |
51 |
$0.00 |
| 99000 |
|
27 |
16 |
$0.00 |
| 3049F |
|
28 |
12 |
$0.00 |
| 3075F |
|
32 |
17 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
28 |
13 |
$0.00 |
| 90656 |
|
43 |
30 |
$0.00 |