| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
29,968 |
27,156 |
$7.51M |
| 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 |
1,292 |
1,111 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,187 |
5,513 |
$157.22 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,002 |
4,412 |
$113.89 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
106 |
91 |
$5.42 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
603 |
537 |
$4.08 |
| 1160F |
|
2,369 |
2,233 |
$0.99 |
| 1159F |
|
2,271 |
2,142 |
$0.99 |
| 3008F |
|
2,215 |
2,092 |
$0.99 |
| 1111F |
|
2,252 |
2,122 |
$0.99 |
| 3078F |
|
1,069 |
1,025 |
$0.66 |
| 3074F |
|
1,395 |
1,328 |
$0.66 |
| 3079F |
|
855 |
817 |
$0.33 |
| 3077F |
|
150 |
134 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
522 |
468 |
$0.00 |
| 1158F |
|
1,083 |
1,016 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
75 |
75 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
22 |
19 |
$0.00 |
| 3050F |
|
56 |
55 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
29 |
29 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
29 |
$0.00 |
| 99406 |
|
608 |
485 |
$0.00 |
| 91301 |
|
233 |
125 |
$0.00 |
| 3080F |
|
48 |
41 |
$0.00 |
| 3075F |
|
349 |
336 |
$0.00 |
| 90686 |
|
305 |
269 |
$0.00 |
| 3048F |
|
168 |
152 |
$0.00 |
| 91306 |
|
13 |
13 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
104 |
89 |
$0.00 |
| 90656 |
|
27 |
27 |
$0.00 |
| 0012A |
|
54 |
53 |
$0.00 |
| 0011A |
|
44 |
42 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
27 |
26 |
$0.00 |
| 3044F |
|
15 |
15 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
12 |
12 |
$0.00 |
| 3049F |
|
27 |
26 |
$0.00 |
| 0064A |
|
13 |
13 |
$0.00 |