| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
18,103 |
13,799 |
$1.06M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,082 |
9,777 |
$304K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,386 |
3,986 |
$175K |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,148 |
719 |
$119K |
| 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 |
4,847 |
3,769 |
$110K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,298 |
791 |
$22K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
470 |
393 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
499 |
463 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
88 |
52 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
427 |
172 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
478 |
356 |
$2K |
| 0012A |
|
60 |
59 |
$2K |
| 80305 |
|
319 |
163 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,181 |
796 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
52 |
27 |
$1K |
| 0011A |
|
48 |
48 |
$1K |
| 99307 |
|
2,668 |
2,153 |
$915.02 |
| 90688 |
|
176 |
110 |
$799.19 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
19 |
12 |
$650.96 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
60 |
34 |
$620.78 |
| 90686 |
|
192 |
107 |
$456.13 |
| 87807 |
|
43 |
32 |
$189.63 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
12 |
$63.30 |
| 81003 |
|
44 |
26 |
$47.38 |
| 82962 |
|
14 |
12 |
$24.75 |
| 91301 |
|
123 |
121 |
$0.06 |
| 90633 |
|
129 |
75 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
540 |
402 |
$0.00 |