| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
171,258 |
147,537 |
$26.27M |
| 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 |
229 |
181 |
$13K |
| 0072A |
|
27 |
26 |
$2K |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
14 |
$2K |
| 0071A |
|
31 |
31 |
$2K |
| 0004A |
|
18 |
18 |
$1K |
| 90680 |
|
1,223 |
1,223 |
$0.00 |
| 92551 |
|
3,886 |
3,865 |
$0.00 |
| 90723 |
|
2,001 |
2,000 |
$0.00 |
| 90651 |
|
558 |
557 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42,842 |
39,687 |
$0.00 |
| 90656 |
|
3,391 |
3,390 |
$0.00 |
| 85018 |
|
5,625 |
5,619 |
$0.00 |
| 99381 |
|
350 |
347 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,334 |
7,079 |
$0.00 |
| 90474 |
|
1,652 |
1,651 |
$0.00 |
| 90716 |
|
402 |
402 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,304 |
9,268 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
82 |
80 |
$0.00 |
| 90647 |
|
308 |
308 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
940 |
940 |
$0.00 |
| 90696 |
|
366 |
366 |
$0.00 |
| 99462 |
|
30 |
28 |
$0.00 |
| 99384 |
|
14 |
14 |
$0.00 |
| 90677 |
|
42 |
42 |
$0.00 |
| 90744 |
|
116 |
116 |
$0.00 |
| 90620 |
|
81 |
81 |
$0.00 |
| 99385 |
|
49 |
49 |
$0.00 |
| 99383 |
|
120 |
119 |
$0.00 |
| 99460 |
|
69 |
69 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
105 |
99 |
$0.00 |
| 90698 |
|
168 |
168 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
82 |
80 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
17 |
17 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$0.00 |
| 99386 |
|
14 |
14 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
28 |
28 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$0.00 |
| 82962 |
|
14 |
14 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,262 |
9,243 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,876 |
2,874 |
$0.00 |
| 90633 |
|
1,345 |
1,345 |
$0.00 |
| 99173 |
|
3,519 |
3,516 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,058 |
7,955 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,359 |
6,357 |
$0.00 |
| 90648 |
|
2,202 |
2,201 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12,153 |
11,417 |
$0.00 |
| 90707 |
|
313 |
313 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,775 |
1,772 |
$0.00 |
| 81003 |
|
2,886 |
2,878 |
$0.00 |
| 90670 |
|
2,828 |
2,827 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
468 |
463 |
$0.00 |
| 90700 |
|
297 |
296 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
325 |
324 |
$0.00 |
| 90734 |
|
423 |
422 |
$0.00 |
| 90710 |
|
419 |
419 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
74 |
74 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
114 |
114 |
$0.00 |
| 90681 |
|
209 |
208 |
$0.00 |
| J7510 |
Prednisolone oral, per 5 mg |
50 |
48 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
198 |
198 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
24 |
24 |
$0.00 |
| Z6400 |
|
68 |
68 |
$0.00 |
| 90715 |
|
178 |
178 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
24 |
$0.00 |
| 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 |
25 |
23 |
$0.00 |