| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
120,797 |
112,315 |
$28.02M |
| 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 |
16,455 |
13,823 |
$2.46M |
| 0011A |
|
2,431 |
2,430 |
$163K |
| 0012A |
|
2,420 |
2,419 |
$162K |
| 0064A |
|
1,832 |
1,826 |
$123K |
| 90832 |
Psychotherapy, 30 minutes with patient |
8,291 |
5,395 |
$120K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
514 |
444 |
$77K |
| 0134A |
|
990 |
990 |
$58K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,121 |
701 |
$52K |
| 0124A |
|
500 |
500 |
$33K |
| 0054A |
|
429 |
429 |
$29K |
| 0004A |
|
429 |
429 |
$29K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,108 |
818 |
$22K |
| 90791 |
Psychiatric diagnostic evaluation |
463 |
392 |
$20K |
| 0031A |
|
288 |
287 |
$19K |
| 0074A |
|
175 |
175 |
$12K |
| 0072A |
|
172 |
172 |
$12K |
| 0002A |
|
154 |
154 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38,356 |
35,964 |
$9K |
| 0112A |
|
134 |
134 |
$9K |
| 0001A |
|
126 |
126 |
$8K |
| 0071A |
|
112 |
112 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
54,186 |
51,898 |
$6K |
| 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 |
32 |
32 |
$5K |
| 0111A |
|
67 |
67 |
$4K |
| 0083A |
|
35 |
35 |
$2K |
| 0082A |
|
24 |
24 |
$2K |
| 90746 |
|
79 |
78 |
$1K |
| 0164A |
|
19 |
19 |
$1K |
| 0151A |
|
17 |
17 |
$1K |
| 0003A |
|
13 |
13 |
$871.00 |
| 0052A |
|
13 |
13 |
$871.00 |
| 0013A |
|
12 |
12 |
$804.00 |
| 90715 |
|
132 |
132 |
$280.44 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,162 |
1,105 |
$190.93 |
| 90688 |
|
1,506 |
1,506 |
$144.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
938 |
909 |
$90.52 |
| 94760 |
|
314 |
294 |
$61.50 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
8,040 |
8,035 |
$27.75 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
254 |
252 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
235 |
235 |
$0.00 |
| 91313 |
|
129 |
129 |
$0.00 |
| 99401 |
|
31 |
28 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
207 |
207 |
$0.00 |
| 90658 |
|
604 |
604 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
479 |
471 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
71 |
71 |
$0.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
14 |
14 |
$0.00 |
| 97803 |
|
127 |
127 |
$0.00 |
| 81003 |
|
13 |
13 |
$0.00 |
| 85610 |
|
30 |
26 |
$0.00 |
| 96152 |
|
18 |
18 |
$0.00 |
| 99000 |
|
6,089 |
6,043 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,092 |
2,086 |
$0.00 |
| 90686 |
|
844 |
844 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
811 |
811 |
$0.00 |
| 93000 |
|
119 |
118 |
$0.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
25 |
21 |
$0.00 |
| 96151 |
|
135 |
135 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$0.00 |
| 99386 |
|
25 |
25 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
12 |
12 |
$0.00 |
| 97802 |
|
13 |
13 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
28 |
28 |
$0.00 |
| 90732 |
|
26 |
26 |
$0.00 |