| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
117,610 |
93,909 |
$35.63M |
| 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 |
14,992 |
10,802 |
$2.16M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
62,657 |
49,069 |
$86K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16,261 |
13,673 |
$49K |
| 0012A |
|
260 |
190 |
$12K |
| 0011A |
|
250 |
166 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,860 |
10,410 |
$10K |
| J3490 |
Unclassified drugs |
135 |
112 |
$8K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,127 |
693 |
$5K |
| 0072A |
|
92 |
74 |
$4K |
| 0013A |
|
78 |
58 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,571 |
403 |
$4K |
| 0071A |
|
82 |
65 |
$4K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,148 |
1,026 |
$2K |
| 0001A |
|
20 |
12 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
157 |
26 |
$939.33 |
| 3725F |
|
14,857 |
13,062 |
$826.21 |
| 1125F |
|
6,360 |
5,797 |
$762.06 |
| 3008F |
|
30,901 |
26,447 |
$662.42 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,301 |
1,099 |
$542.44 |
| 99381 |
|
36 |
25 |
$406.74 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,270 |
1,849 |
$377.24 |
| 1126F |
|
24,617 |
21,018 |
$372.09 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,371 |
1,994 |
$289.45 |
| 81003 |
|
4,503 |
3,647 |
$243.37 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
132 |
121 |
$205.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
103 |
82 |
$185.00 |
| 90686 |
|
1,530 |
1,516 |
$180.01 |
| 81025 |
|
395 |
370 |
$133.53 |
| 92551 |
|
3,063 |
2,949 |
$119.16 |
| 82962 |
|
3,200 |
3,032 |
$99.41 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,889 |
1,816 |
$97.44 |
| 90670 |
|
595 |
576 |
$75.60 |
| 85018 |
|
5,023 |
4,794 |
$72.47 |
| 90682 |
|
139 |
138 |
$70.31 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,484 |
1,436 |
$64.12 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,966 |
1,664 |
$56.99 |
| 90715 |
|
221 |
220 |
$55.34 |
| 96156 |
|
120 |
118 |
$43.16 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
92 |
73 |
$39.38 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
98 |
94 |
$36.54 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
308 |
303 |
$26.21 |
| 99173 |
|
3,020 |
2,910 |
$22.00 |
| 86580 |
|
257 |
248 |
$17.20 |
| 99401 |
|
103 |
102 |
$16.83 |
| 90696 |
|
64 |
64 |
$9.45 |
| 99000 |
|
121 |
121 |
$7.26 |
| 81002 |
|
93 |
93 |
$2.45 |
| 0502F |
|
307 |
172 |
$0.00 |
| 3078F |
|
13,698 |
12,449 |
$0.00 |
| 3077F |
|
1,626 |
1,525 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
351 |
259 |
$0.00 |
| 90633 |
|
189 |
180 |
$0.00 |
| 1159F |
|
483 |
478 |
$0.00 |
| 1160F |
|
1,428 |
1,361 |
$0.00 |
| 90734 |
|
252 |
251 |
$0.00 |
| 99442 |
|
203 |
198 |
$0.00 |
| 90662 |
|
161 |
157 |
$0.00 |
| Z6206 |
|
13 |
13 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
303 |
280 |
$0.00 |
| Z6500 |
|
26 |
26 |
$0.00 |
| 90672 |
|
150 |
134 |
$0.00 |
| 90750 |
|
12 |
12 |
$0.00 |
| 90710 |
|
124 |
124 |
$0.00 |
| 59425 |
|
286 |
186 |
$0.00 |
| 99222 |
Initial hospital care, per day, moderate complexity |
31 |
29 |
$0.00 |
| Z6200 |
|
24 |
24 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
16 |
$0.00 |
| Z6400 |
|
24 |
24 |
$0.00 |
| Z6304 |
|
13 |
13 |
$0.00 |
| Z6300 |
|
24 |
24 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$0.00 |
| 90649 |
|
27 |
27 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 3051F |
|
15 |
15 |
$0.00 |
| 3046F |
|
12 |
12 |
$0.00 |
| 3074F |
|
19,826 |
17,293 |
$0.00 |
| 90680 |
|
147 |
146 |
$0.00 |
| Z1034 |
|
3,305 |
1,893 |
$0.00 |
| 90698 |
|
286 |
273 |
$0.00 |
| Z1032 |
|
12 |
12 |
$0.00 |
| 90651 |
|
126 |
126 |
$0.00 |
| 3075F |
|
1,885 |
1,784 |
$0.00 |
| 3080F |
|
75 |
69 |
$0.00 |
| 3079F |
|
3,098 |
2,734 |
$0.00 |
| 3044F |
|
113 |
113 |
$0.00 |
| Z6402 |
|
25 |
25 |
$0.00 |
| 1220F |
|
454 |
424 |
$0.00 |
| Z6406 |
|
57 |
57 |
$0.00 |
| 90688 |
|
120 |
118 |
$0.00 |
| 99441 |
|
56 |
54 |
$0.00 |
| 90744 |
|
83 |
83 |
$0.00 |
| 99443 |
|
104 |
100 |
$0.00 |
| 97804 |
|
40 |
39 |
$0.00 |
| 0501F |
|
21 |
19 |
$0.00 |
| 90647 |
|
26 |
25 |
$0.00 |
| 92250 |
|
24 |
24 |
$0.00 |
| 3052F |
|
12 |
12 |
$0.00 |
| 96151 |
|
26 |
26 |
$0.00 |
| 90716 |
|
14 |
14 |
$0.00 |
| 90697 |
|
12 |
12 |
$0.00 |
| Z1038 |
|
19 |
13 |
$0.00 |