| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
15,909 |
13,651 |
$1.43M |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,649 |
1,593 |
$0.00 |
| 96127 |
|
664 |
637 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,156 |
12,306 |
$0.00 |
| 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 |
1,693 |
808 |
$0.00 |
| 92551 |
|
530 |
504 |
$0.00 |
| 90688 |
|
415 |
367 |
$0.00 |
| 82962 |
|
323 |
270 |
$0.00 |
| 86580 |
|
57 |
46 |
$0.00 |
| 90686 |
|
74 |
70 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
311 |
261 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
14 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
132 |
123 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
314 |
135 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
539 |
519 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
153 |
146 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
331 |
308 |
$0.00 |
| 81025 |
|
1,959 |
1,909 |
$0.00 |
| 87210 |
|
584 |
342 |
$0.00 |
| 81002 |
|
778 |
706 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,265 |
1,152 |
$0.00 |
| 99173 |
|
674 |
647 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
42 |
40 |
$0.00 |
| 86703 |
|
53 |
52 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
110 |
102 |
$0.00 |
| D0191 |
|
28 |
27 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
12 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
20 |
13 |
$0.00 |