| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
24,262 |
20,902 |
$4.91M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,331 |
4,758 |
$507.22 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,354 |
8,941 |
$209.98 |
| 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 |
847 |
676 |
$204.77 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,497 |
2,245 |
$78.13 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
94 |
77 |
$19.65 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
499 |
343 |
$2.81 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
662 |
622 |
$1.32 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
914 |
831 |
$0.00 |
| 3048F |
|
2,401 |
2,068 |
$0.00 |
| 3008F |
|
8,922 |
7,791 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
218 |
175 |
$0.00 |
| 3049F |
|
1,903 |
1,677 |
$0.00 |
| 3079F |
|
2,857 |
2,616 |
$0.00 |
| 3044F |
|
1,536 |
1,350 |
$0.00 |
| 3075F |
|
1,495 |
1,390 |
$0.00 |
| 3074F |
|
5,731 |
5,051 |
$0.00 |
| 3014F |
|
180 |
164 |
$0.00 |
| 90686 |
|
742 |
661 |
$0.00 |
| 90688 |
|
16 |
12 |
$0.00 |
| 96150 |
|
172 |
141 |
$0.00 |
| 1034F |
|
40 |
39 |
$0.00 |
| 3080F |
|
302 |
279 |
$0.00 |
| 90656 |
|
49 |
49 |
$0.00 |
| 1170F |
|
107 |
101 |
$0.00 |
| 3060F |
|
711 |
578 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
86 |
81 |
$0.00 |
| 1157F |
|
91 |
87 |
$0.00 |
| 1126F |
|
140 |
134 |
$0.00 |
| 96156 |
|
12 |
12 |
$0.00 |
| 1125F |
|
18 |
18 |
$0.00 |
| 1000F |
|
15 |
14 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
118 |
115 |
$0.00 |
| 3078F |
|
5,312 |
4,687 |
$0.00 |
| 3077F |
|
971 |
905 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
306 |
286 |
$0.00 |
| 3046F |
|
370 |
335 |
$0.00 |
| 3050F |
|
926 |
843 |
$0.00 |
| 90715 |
|
67 |
57 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
55 |
51 |
$0.00 |
| 3725F |
|
76 |
71 |
$0.00 |
| 90662 |
|
97 |
77 |
$0.00 |
| 1158F |
|
93 |
87 |
$0.00 |
| 3051F |
|
51 |
49 |
$0.00 |
| 81002 |
|
79 |
67 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
13 |
13 |
$0.00 |
| H0031 |
Mental health assessment, by non-physician |
50 |
50 |
$0.00 |