| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,545 |
6,666 |
$1.19M |
| 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 |
835 |
707 |
$30K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
569 |
553 |
$28K |
| 99050 |
|
643 |
626 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,551 |
1,338 |
$20K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
461 |
460 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,228 |
1,065 |
$16K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
279 |
268 |
$6K |
| 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 |
72 |
72 |
$4K |
| 96127 |
|
353 |
251 |
$3K |
| 99188 |
|
108 |
106 |
$3K |
| 90686 |
|
229 |
229 |
$2K |
| 99173 |
|
164 |
160 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
169 |
96 |
$2K |
| D9450 |
|
202 |
173 |
$1K |
| 81025 |
|
178 |
168 |
$1K |
| 90715 |
|
69 |
69 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
48 |
47 |
$865.36 |
| 81002 |
|
350 |
340 |
$742.31 |
| 99408 |
|
35 |
21 |
$417.14 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
202 |
201 |
$382.83 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
13 |
12 |
$362.11 |
| 87807 |
|
23 |
22 |
$242.55 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$222.00 |
| 81003 |
|
86 |
85 |
$164.34 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
14 |
$133.56 |
| 90661 |
|
28 |
28 |
$73.70 |
| 85018 |
|
12 |
12 |
$25.08 |
| H0049 |
Alcohol and/or drug screening |
413 |
393 |
$0.00 |
| 99000 |
|
789 |
714 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
409 |
372 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
368 |
330 |
$0.00 |
| 1000F |
|
534 |
510 |
$0.00 |
| 3008F |
|
372 |
365 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
64 |
64 |
$0.00 |
| 82962 |
|
14 |
14 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
117 |
110 |
$0.00 |
| 90674 |
|
14 |
14 |
$0.00 |
| 90461 |
|
98 |
97 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
891 |
826 |
$0.00 |
| 99051 |
|
67 |
65 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
12 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$0.00 |