| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
42,414 |
33,668 |
$2.99M |
| 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 |
3,864 |
3,166 |
$127K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35,594 |
28,760 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,503 |
2,359 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
453 |
452 |
$713.74 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
348 |
347 |
$408.18 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37 |
37 |
$332.35 |
| 92552 |
|
446 |
443 |
$231.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
84 |
83 |
$222.12 |
| 92551 |
|
931 |
930 |
$198.36 |
| 90686 |
|
581 |
580 |
$183.90 |
| 99173 |
|
1,452 |
1,447 |
$109.62 |
| 85018 |
|
2,152 |
2,144 |
$101.19 |
| 90688 |
|
187 |
186 |
$80.95 |
| 90674 |
|
152 |
152 |
$76.98 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
359 |
358 |
$56.54 |
| 81003 |
|
1,851 |
1,805 |
$49.64 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
139 |
133 |
$35.76 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
104 |
103 |
$33.76 |
| 81002 |
|
345 |
334 |
$22.99 |
| 88142 |
|
13 |
12 |
$16.48 |
| 86580 |
|
121 |
117 |
$6.72 |
| 81025 |
|
25 |
24 |
$2.52 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
102 |
86 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
85 |
85 |
$0.00 |
| 90656 |
|
19 |
19 |
$0.00 |
| 90647 |
|
13 |
13 |
$0.00 |
| 36416 |
|
18 |
18 |
$0.00 |
| 90710 |
|
40 |
39 |
$0.00 |
| 99397 |
|
43 |
43 |
$0.00 |
| 90734 |
|
15 |
15 |
$0.00 |
| 90649 |
|
12 |
12 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |