| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
16,681 |
14,409 |
$4.52M |
| 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 |
149 |
115 |
$579.46 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,216 |
1,040 |
$175.10 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,112 |
5,290 |
$159.55 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
616 |
590 |
$16.97 |
| 3008F |
|
134 |
127 |
$0.00 |
| 3079F |
|
55 |
51 |
$0.00 |
| 0012A |
|
13 |
13 |
$0.00 |
| 91301 |
|
94 |
54 |
$0.00 |
| 3074F |
|
102 |
96 |
$0.00 |
| 92551 |
|
82 |
82 |
$0.00 |
| 1111F |
|
135 |
124 |
$0.00 |
| 90686 |
|
174 |
169 |
$0.00 |
| 99000 |
|
29 |
29 |
$0.00 |
| 0011A |
|
16 |
13 |
$0.00 |
| 99173 |
|
158 |
158 |
$0.00 |
| 3078F |
|
71 |
70 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
27 |
26 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
30 |
30 |
$0.00 |
| 1160F |
|
182 |
170 |
$0.00 |
| 1158F |
|
54 |
52 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
122 |
115 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
34 |
33 |
$0.00 |
| 90715 |
|
15 |
15 |
$0.00 |
| 1159F |
|
182 |
170 |
$0.00 |
| 3077F |
|
18 |
18 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
38 |
38 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$0.00 |