| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
26,958 |
22,249 |
$5.54M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,012 |
8,493 |
$2K |
| 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 |
1,873 |
1,478 |
$921.50 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,369 |
5,491 |
$653.54 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
256 |
135 |
$128.87 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
73 |
71 |
$47.26 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
232 |
202 |
$37.94 |
| 90686 |
|
436 |
387 |
$30.74 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
823 |
729 |
$0.00 |
| 4004F |
|
318 |
277 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
120 |
113 |
$0.00 |
| 3077F |
|
254 |
242 |
$0.00 |
| 3078F |
|
1,316 |
1,192 |
$0.00 |
| 1159F |
|
615 |
549 |
$0.00 |
| 99001 |
|
13 |
13 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
30 |
25 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
61 |
60 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
36 |
29 |
$0.00 |
| 81003 |
|
30 |
28 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
14 |
13 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
28 |
17 |
$0.00 |
| 99173 |
|
29 |
28 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
18 |
14 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
15 |
$0.00 |
| 3079F |
|
991 |
892 |
$0.00 |
| 0064A |
|
42 |
34 |
$0.00 |
| 3044F |
|
185 |
177 |
$0.00 |
| 2001F |
|
2,114 |
1,818 |
$0.00 |
| 1036F |
|
1,939 |
1,643 |
$0.00 |
| 0012A |
|
66 |
65 |
$0.00 |
| 3008F |
|
1,803 |
1,570 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
513 |
488 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
66 |
63 |
$0.00 |
| 0011A |
|
68 |
65 |
$0.00 |
| 3075F |
|
323 |
304 |
$0.00 |
| 3074F |
|
1,854 |
1,631 |
$0.00 |
| 92551 |
|
42 |
37 |
$0.00 |
| 91306 |
|
33 |
28 |
$0.00 |
| 3080F |
|
25 |
24 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
50 |
44 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
17 |
17 |
$0.00 |
| 90656 |
|
30 |
29 |
$0.00 |
| 1111F |
|
12 |
12 |
$0.00 |