| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
35,245 |
30,319 |
$4.45M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,896 |
19,187 |
$24K |
| 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 |
782 |
673 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,678 |
5,644 |
$7K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
243 |
243 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,435 |
1,653 |
$1K |
| G9920 |
Screening performed and negative |
65 |
53 |
$377.00 |
| 81025 |
|
1,097 |
766 |
$215.32 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
14 |
13 |
$211.54 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
363 |
253 |
$34.16 |
| 90686 |
|
1,048 |
866 |
$32.49 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
703 |
466 |
$25.79 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
390 |
270 |
$24.70 |
| 81002 |
|
1,764 |
1,144 |
$17.63 |
| 85018 |
|
1,618 |
1,115 |
$11.77 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
894 |
649 |
$4.01 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
7,930 |
4,506 |
$0.47 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
827 |
515 |
$0.46 |
| 3078F |
|
2,451 |
1,454 |
$0.00 |
| 99173 |
|
697 |
489 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
53 |
43 |
$0.00 |
| 3077F |
|
181 |
90 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
20 |
12 |
$0.00 |
| 90715 |
|
35 |
28 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
202 |
107 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
12 |
12 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
47 |
47 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
155 |
96 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
145 |
141 |
$0.00 |
| 3074F |
|
1,829 |
1,106 |
$0.00 |
| 92551 |
|
473 |
339 |
$0.00 |
| 82962 |
|
572 |
445 |
$0.00 |
| 3079F |
|
619 |
345 |
$0.00 |
| 3075F |
|
411 |
222 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
60 |
36 |
$0.00 |
| 20610 |
|
91 |
57 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
169 |
121 |
$0.00 |
| 99406 |
|
35 |
19 |
$0.00 |
| 90688 |
|
256 |
140 |
$0.00 |
| 90651 |
|
34 |
28 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 86580 |
|
23 |
14 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
12 |
$0.00 |