| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
11,214 |
7,807 |
$2.72M |
| 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 |
5,050 |
4,058 |
$432K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,358 |
3,542 |
$25K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
436 |
263 |
$16K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
153 |
67 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,695 |
1,465 |
$8K |
| 90837 |
Psychotherapy, 53 minutes with patient |
767 |
373 |
$8K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,418 |
1,279 |
$7K |
| G0008 |
Administration of influenza virus vaccine |
248 |
245 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
527 |
259 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
83 |
53 |
$719.41 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
98 |
87 |
$445.43 |
| 90688 |
|
127 |
125 |
$376.84 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
115 |
83 |
$40.31 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
14 |
$7.19 |
| D1110 |
Prophylaxis - adult |
518 |
498 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
133 |
113 |
$0.00 |
| D1120 |
Prophylaxis - child |
170 |
165 |
$0.00 |
| D0330 |
Panoramic radiographic image |
27 |
25 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
35 |
30 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
240 |
235 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
552 |
538 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
154 |
147 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
60 |
51 |
$0.00 |
| 99000 |
|
71 |
63 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
15 |
13 |
$0.00 |