| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
10,565 |
9,091 |
$1.68M |
| 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 |
12,870 |
11,148 |
$446K |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
2,680 |
1,686 |
$354K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,408 |
877 |
$124K |
| 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 |
637 |
532 |
$107K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
790 |
682 |
$37K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,676 |
1,337 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,627 |
1,574 |
$14K |
| 90686 |
|
1,057 |
1,054 |
$7K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
290 |
268 |
$7K |
| 90791 |
Psychiatric diagnostic evaluation |
41 |
31 |
$5K |
| 92015 |
Determination of refractive state |
387 |
385 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
90 |
78 |
$4K |
| 91320 |
|
47 |
47 |
$3K |
| 99381 |
|
13 |
13 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,438 |
4,207 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
136 |
136 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
191 |
186 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,993 |
6,284 |
$1K |
| 90480 |
|
82 |
82 |
$1K |
| 99050 |
|
17 |
16 |
$785.70 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
118 |
54 |
$579.12 |
| 99442 |
|
23 |
22 |
$427.80 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
40 |
39 |
$425.16 |
| 90715 |
|
12 |
12 |
$318.50 |
| 90662 |
|
95 |
92 |
$265.95 |
| 90474 |
|
28 |
28 |
$220.75 |
| 81003 |
|
43 |
39 |
$61.73 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
14 |
$47.95 |
| G0008 |
Administration of influenza virus vaccine |
722 |
716 |
$0.00 |
| 99000 |
|
582 |
556 |
$0.00 |
| 36416 |
|
368 |
322 |
$0.00 |
| 0064A |
|
26 |
26 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
154 |
154 |
$0.00 |
| 91300 |
|
99 |
96 |
$0.00 |